Clinton Waggoner in Pensacola - Diagnostic Radiology

Clinton Waggoner - NPI 1235344011

Clinton Waggoner is a Diagnostic Radiology in Pensacola, Florida. Clinton Waggoner practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Clinton Waggoner is 1235344011. The last update date is 2023-09-27.

Clinton Waggoner's current location address is Po Box 9210, Pensacola, Florida. You can contact this provider via phone number 8504768602 and fax number 8504743518. The mailing address for Clinton Waggoner is Po Box 9210, Pensacola, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Clinton Waggoner
Address Po Box 9210, Pensacola, Florida
Phone Number 8504768602
Fax Number 8504743518
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1235344011
Provider Enumeration Date 2007-05-14
Last Updated Date 2023-09-27

Provider Mailing Address Detail

Address Po Box 9210
City Pensacola
State Florida (FL)
Post Code 325139210
Phone Number 8504768602
Fax Number 8504743518

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 26192
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110982 AL --
111222 AL --
51599270 AL BCBS
7825700 FL --
111237 AL --
51599265 AL BCBS
51599269 AL BCBS
111224 AL --
111236 AL --
145235 AL --

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FAQs about Clinton Waggoner

What is the unique 10-digit identification code issued to Clinton Waggoner by the Centers for Medicare & Medicaid Services?

The Clinton Waggoner has been assigned the NPI (National Provider Identifier) 1235344011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Clinton Waggoner is physically located?

The Clinton Waggoner is situated at the following address: Po Box 9210, Pensacola, FL 325139210.

What is Clinton Waggoner's area of expertise and its corresponding taxonomy classification?

The Clinton Waggoner's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1235344011 to Clinton Waggoner?

The Centers for Medicare & Medicaid Services assigned the 1235344011 to Clinton Waggoner on 2007-05-14.

As of what date was the information regarding Clinton Waggoner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Clinton Waggoner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-27.

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