Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL WAGGONER OD PA
Active OrganizationMICHAEL WAGGONER OD PA is a Health Maintenance Organization organization located in FAYETTEVILLE, Arkansas. NPI 1992021190 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1992021190
- Provider Type
- Organization
- NPI Issued
- Apr 13, 2010 (16.371475303068 yrs)
- Last Updated
- Aug 12, 2015
- License
-
2411 (AR)
Practice Information
- Address
-
2630 E CITIZENS DR STE 6FAYETTEVILLE, AR, 727034797Browse AR providers · Browse ZIP 72703
- Phone
- 4795821212
- Fax
- 4795822070
- Primary Specialty
-
Health Maintenance Organization
302R00000X
Other Health Maintenance Organization Organizations in FAYETTEVILLE, AR
| Name | NPI |
|---|---|
| MEMORY MEDICAL | 1942400312 |
| W.A. LUCKY LLC. | 1194068734 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.