Individual provider · Type 1 NPI

Matthew Roy Wagoner, DPM

Foot & Ankle Surgery Podiatrist · Greensboro, NC

NPI number 1770870974 Active

Practice location

2001 N Church St Ste 101
Greensboro, NC 27405-5633

Call (336) 375-6990 Map

Mailing address

2001 N Church St
Greensboro, NC 27405-5633

Other practice locations

  • 2706 Saint Jude St, Greensboro, NC 27405-3670 · (336) 375-6990

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XSC006317 (PA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X612 (NC)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1770870974

Matthew Roy Wagoner, DPM's National Provider Identifier is 1770870974, issued on Jul 8, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Greensboro, NC. The record was last updated on Mar 11, 2024.