Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN LEO WAGGONER, M.D.
ActiveDR. BRIAN LEO WAGGONER, M.D. is a Pediatrics healthcare provider located in CLIVE, Iowa. NPI 1679544548 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · CLIVE, IA
Registration Details
- NPI Number
- 1679544548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.54643212184 yrs)
- Last Updated
- Dec 23, 2016
- License
-
28129 (IA)
Practice Information
- Address
-
2555 BERKSHIRE PKWY STE ACLIVE, IA, 503254646Browse IA providers · Browse ZIP 50325
- Phone
- 5159870051
- Fax
- 5159870054
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in CLIVE, IA
| Name | Credential | NPI |
|---|---|---|
| RUBY CUREG | MD | 1225147333 |
| JON VANROEKEL | MD | 1174632210 |
| SARAH COOPER JACKSON | MD | 1578898771 |
| MEGAN DALHOFF | DO | 1316439482 |
| STEPHANIE D O'BRIEN | DO | 1578056859 |
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.