Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL WAGGONER, DO
ActiveMICHAEL WAGGONER, DO is a 207WX0120X healthcare provider located in ROGERS, Arkansas. NPI 1295963999 is currently active in the NPPES registry. Verify at CMS.
207WX0120X · ROGERS, AR
Registration Details
- NPI Number
- 1295963999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2009 (17.099965503858 yrs)
- Last Updated
- Jun 14, 2022
- Licenses
-
5341 (OK)E-8612 (AR)E-8612 (AR)T2009017030 (MO)
Practice Information
- Address
-
3737 W WALNUT STROGERS, AR, 727561839Browse AR providers · Browse ZIP 72756
- Phone
- 4792461700
- Primary Specialty
-
207WX0120X
207WX0120X
- Additional Specialty
- Ophthalmology
- Additional Specialty
- 207WX0120X
- Additional Specialty
- Internal Medicine
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.