Daniel Leroy Waggoner in Mystic - Allergy
Daniel Leroy Waggoner - NPI 1558406066
Daniel Leroy Waggoner is a Allergy in Mystic, Connecticut. Daniel Leroy Waggoner practices all healthcare services and medical treatments related to Allergy. The NPI Number for Daniel Leroy Waggoner is 1558406066. The last update date is 2016-03-25.
Daniel Leroy Waggoner's current location address is 23 Clara Dr, Mystic, Connecticut. You can contact this provider via phone number 8605362995 and fax number 8605720265. The mailing address for Daniel Leroy Waggoner is 23 Clara Dr, Mystic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Leroy Waggoner |
|---|---|
| Address | 23 Clara Dr, Mystic, Connecticut |
| Phone Number | 8605362995 |
| Fax Number | 8605720265 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558406066 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2016-03-25 |
Provider Mailing Address Detail
| Address | 23 Clara Dr |
|---|---|
| City | Mystic |
| State | Connecticut (CT) |
| Post Code | 63551959 |
| Phone Number | 8605362995 |
| Fax Number | 8605720265 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | 45087 |
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Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Daniel Leroy Waggoner by the Centers for Medicare & Medicaid Services?
The Daniel Leroy Waggoner has been issued the NPI (National Provider Identifier) 1558406066 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Daniel Leroy Waggoner is located?
The Daniel Leroy Waggoner is situated at the following address: 23 Clara Dr, Mystic, CT, 63551959.
What is Daniel Leroy Waggoner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Daniel Leroy Waggoner is Allergy, and the taxonomy code that categorizes this field of expertise is 207Ka0200X.
On what date did the Daniel Leroy Waggoner receive its 1558406066 assignment from the Centers for Medicare & Medicaid Services?
The Daniel Leroy Waggoner was assigned its 1558406066 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the details pertaining to Daniel Leroy Waggoner last refreshed?
The information related to the Daniel Leroy Waggoner, including its address, specialty, and other relevant details, was last updated on 2016-03-25.
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