Individual provider · Type 1 NPI

Richard Adam Waggoner, PHYSICIAN ASSISTANT

Medical Physician Assistant · Wpafb, OH

NPI number 1548242514 Active

Practice location

4881 Sugar Maple Dr
Wpafb, OH 45433-5546

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1548242514

Richard Adam Waggoner, PHYSICIAN ASSISTANT's National Provider Identifier is 1548242514, issued on Nov 16, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wpafb, OH. The record was last updated on Aug 16, 2007.