Individual provider · Type 1 NPI
Derrick Durell Wagoner, DO
Diagnostic Radiology Physician · Edmond, OK
NPI number
1760829220
Active
Practice location
1800 Renaissance Blvd Ste 110
Edmond, OK 73013
Mailing address
321 Shappee St
Horseheads, NY 14845-1918
Other practice locations
- 325 Essjay Rd, Williamsville, NY 14221-8243 · (716) 630-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 6324 (OK) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
Other diagnostic radiology physician providers in Edmond
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- Robin E. Acker, MDDiagnostic Radiology Physician Edmond, OK NPI 1184692576
- Jeffrey Wayne Shelton, MDDiagnostic Radiology Physician Edmond, OK NPI 1194864074
- Justin Joel Boe, MDDiagnostic Radiology Physician Edmond, OK NPI 1205925864
- Lori Ann Fredrick, MDDiagnostic Radiology Physician Edmond, OK NPI 1225243207
- Anne A. Munson, MDDiagnostic Radiology Physician Edmond, OK NPI 1275584849
About NPI 1760829220
Derrick Durell Wagoner, DO's National Provider Identifier is 1760829220, issued on May 23, 2013. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Edmond, OK. The record was last updated on Aug 29, 2025.