Richard K Waggoner in Grand Island - Physician Assistant
Richard K Waggoner - NPI 1386698835
Richard K Waggoner is a Physician Assistant in Grand Island, Nebraska. Richard K Waggoner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard K Waggoner is 1386698835. The last update date is 2023-03-07.
Richard K Waggoner's current location address is 2116 W Faidley Ave, Grand Island, Nebraska. You can contact this provider via phone number 3083810162 and fax number 3083894445. The mailing address for Richard K Waggoner is 2116 W Faidley Ave, Grand Island, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard K Waggoner |
|---|---|
| Address | 2116 W Faidley Ave, Grand Island, Nebraska |
| Phone Number | 3083810162 |
| Fax Number | 3083894445 |
| Sole Proprietor | X |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1386698835 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2116 W Faidley Ave |
|---|---|
| City | Grand Island |
| State | Nebraska (NE) |
| Post Code | 688034671 |
| Phone Number | 3083810162 |
| Fax Number | 3083894445 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 342000 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Richard K Waggoner's 1386698835?
The Richard K Waggoner's NPI (National Provider Identifier) Number is 1386698835. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Richard K Waggoner's specialty and taxonomy code?
The Richard K Waggoner's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Richard K Waggoner's 1386698835 issued?
The Richard K Waggoner's 1386698835 was issued on 2006-05-20.
When was the Richard K Waggoner's information last updated?
The Richard K Waggoner's information was last updated on 2023-03-07.
When was the information pertaining to Richard K Waggoner most recently updated or revised?
The details related to Richard K Waggoner, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.