David Stephen Waggoner DC

NPI 1073513933 - Chiropractor - 111N00000X

NPI Details
NPI 1073513933
Gender Male
Enumeration Date 07/21/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
303 N MAIN ST
LEITCHFIELD KY, 42754-2230, US
Phone (270) 259-3919
Fax (270) 230-1739
Business Location
303 N MAIN ST
LEITCHFIELD KY, 42754-2230, US
Phone (270) 259-3919
Fax (270) 230-1739
Toxanomy
Taxonomy Code 111N00000X
License State Kentucky
License Number 1891
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According to our database, David Stephen Waggoner DC NPI is 1073513933, taxonomy code is 111N00000X and license number is 1891, license state is located at Kentucky. David Stephen Waggoner DC physically located at 303 N Main St, Leitchfield KY, 42754-2230. NPI Number David Stephen Waggoner DC has the Individual type.

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1073513933 NPI number is provided on an as is basis without warranty of any kind. 1073513933 is maintained by the National Plan & Provider Enumeration System. The contents of David Stephen Waggoner DC are for informational purposes only.