Raymond Walter Waggoner JR. M.D.

NPI 1053536284 - Specialist - 174400000X

NPI Details
NPI 1053536284
Gender Male
Enumeration Date 04/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
100 OUTERBELT ST
SUITE A
COLUMBUS OH, 43213-1527, US
Phone (614) 751-5393
Fax (614) 751-5394
Business Location
979 NOTCHBROOK DR
DELAWARE OH, 43015-7995, US
Phone (740) 548-4448
Fax (614) 751-5394
Toxanomy
Taxonomy Code 174400000X
License State Ohio
License Number 35054965
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According to our database, Dr. Raymond Walter Waggoner JR. M.D. NPI is 1053536284, taxonomy code is 174400000X and license number is 35054965, license state is located at Ohio. Raymond Walter Waggoner JR. M.D. physically located at 100 Outerbelt St, Columbus OH, 43213-1527. NPI Number Raymond Walter Waggoner JR. M.D. has the Individual type.

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1053536284 NPI number is provided on an as is basis without warranty of any kind. 1053536284 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond Walter Waggoner JR. M.D. are for informational purposes only.