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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY LEE WADDINGTON, MD

Active

GARY LEE WADDINGTON, MD is a Dermatology healthcare provider located in SURPRISE, Arizona. NPI 1033103643 is currently active in the NPPES registry. Verify at CMS.

Dermatology · SURPRISE, AZ

Registration Details

NPI Number
1033103643
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2005 (20.886192760194 yrs)
Last Updated
May 15, 2013
Licenses
12916 (AZ)
12916 (AZ)
12916 (AZ)
12916 (AZ)
12916 (AZ)

Practice Information

Address
14239 W BELL RD
SUITE 101
SURPRISE, AZ, 853742469
Browse AZ providers · Browse ZIP 85374
Phone
6235447755
Fax
6235448665
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology
Additional Specialty
Allergy & Immunology
Additional Specialty
Procedural Dermatology

Other Dermatology Providers in SURPRISE, AZ

Name Credential NPI
JEFFREY MORTON GRANT MD 1578557187
JESSE M OLMEDO MD 1265490429
DR. DREW AUBREY REESE D.O. 1750394227
DR. SUSAN IL IORIO MD 1538238373
DR. JAY G MEHTA DO 1255572863
DR. TYLER A MOSS D.O. 1285955039
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.