David Bo Waggoner in Oklahoma City - Sports Physician
David Bo Waggoner - NPI 1013015064
David Bo Waggoner is a Sports Physician in Oklahoma City, Oklahoma. David Bo Waggoner practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for David Bo Waggoner is 1013015064. The last update date is 2007-07-08.
David Bo Waggoner's current location address is 7000 Nw Expressway St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057731113 and fax number 4057731114. The mailing address for David Bo Waggoner is 7000 Nw Expressway St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Bo Waggoner |
|---|---|
| Address | 7000 Nw Expressway St, Oklahoma City, Oklahoma |
| Phone Number | 4057731113 |
| Fax Number | 4057731114 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1013015064 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7000 Nw Expressway St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731323514 |
| Phone Number | 4057731113 |
| Fax Number | 4057731114 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 3170 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identifier code assigned to David Bo Waggoner by the Centers for Medicare & Medicaid Services?
The David Bo Waggoner has been issued the NPI (National Provider Identifier) 1013015064 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the David Bo Waggoner's physical address?
The David Bo Waggoner is physically located at 7000 Nw Expressway St, in the city of Oklahoma City, OK, with the postal code 731323514.
What is David Bo Waggoner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Bo Waggoner's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013015064 to David Bo Waggoner?
The David Bo Waggoner received its 1013015064 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the details pertaining to David Bo Waggoner last refreshed?
The information related to the David Bo Waggoner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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