Individual provider · Type 1 NPI

Shelley Waggoner

Specialist · Tulsa, OK

NPI number 1417299447 Active

Practice location

6333 E Skelly Dr
Tulsa, OK 74135-6106

Call (918) 633-2442 Map

Mailing address

6727 S 73rd East Ave
Tulsa, OK 74133-1832

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417299447

Shelley Waggoner's National Provider Identifier is 1417299447, issued on Mar 16, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tulsa, OK. The record was last updated on Mar 16, 2013.