Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS MALLORI JANE WAGONER
Active Sole ProprietorMISS MALLORI JANE WAGONER is a Foot & Ankle Surgery healthcare provider located in COUNCIL BLUFFS, Iowa. NPI 1033003116 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · COUNCIL BLUFFS, IA
Registration Details
- NPI Number
- 1033003116
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2025 (1.1820826587383 yrs)
- Last Updated
- Jun 4, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
2724 AVENUE BCOUNCIL BLUFFS, IA, 515012106Browse IA providers · Browse ZIP 51501
- Phone
- 4026792834
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in COUNCIL BLUFFS, IA
| Name | Credential | NPI |
|---|---|---|
| LAVAUGHN WELLS | — | 1952013419 |
| SUSANAH GREGORY | — | 1578360814 |
| CHYLYNN NELSON | — | 1457158669 |
| CASSANDRA CURRY | — | 1407653231 |
| SHYLO LYNN THOMAS | — | 1003615949 |
| KALLEE R GRAHAM | — | 1033919634 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.