Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORAL JANE WAGGONER, RPSGT, RRT,CCSH,MBA
Active Sole ProprietorSpecialist/Technologist, Surgical · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1467958942
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2018 (8.0525340234011 yrs)
- Last Updated
- Apr 3, 2018
- License
-
PT2013-0001 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4700 JEFFERSON ST NE STE 800ALBUQUERQUE, NM, 871092132Browse NM providers · Browse ZIP 87109
- Phone
- 5058726005
- Fax
- 5158726003
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Other Specialist/Technologist, Surgical Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| JOHN CRAIG EAVES | RPSGT | 1437147899 |
| MR. JULIO ANTONIO AVILA LOPEZ | PHYSICIAN VASCULAR I | 1700114386 |
| HILDA DE LAS MERCEDES AVILA | RDMS,ECFMG CERTIFIED | 1154614881 |
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.