Scott Edward Wagnon is a Medical in Eugene, Oregon. Scott Edward Wagnon practices all healthcare services and medical treatments related to Medical. The NPI Number for Scott Edward Wagnon is 1407951668. The last update date is 2015-02-01.
Scott Edward Wagnon's current location address is 2830 Crescent Ave, Eugene, Oregon. You can contact this provider via phone number 5416869000 and fax number 5412424585. The mailing address for Scott Edward Wagnon is 2830 Crescent Ave, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Edward Wagnon |
|---|---|
| Address | 2830 Crescent Ave, Eugene, Oregon |
| Phone Number | 5416869000 |
| Fax Number | 5412424585 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1407951668 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2015-02-01 |
Provider Mailing Address Detail
| Address | 2830 Crescent Ave |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974087397 |
| Phone Number | 5416869000 |
| Fax Number | 5412424585 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA01088 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Scott Edward Wagnon by the Centers for Medicare & Medicaid Services?
The Scott Edward Wagnon has been assigned the NPI (National Provider Identifier) 1407951668 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Scott Edward Wagnon's facilities are geographically located?
The facilities of Scott Edward Wagnon are physically situated at the following location: 2830 Crescent Ave, Eugene, OR, 974087397.
What is Scott Edward Wagnon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Scott Edward Wagnon's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407951668 to Scott Edward Wagnon?
The Centers for Medicare & Medicaid Services originally issued the 1407951668 to Scott Edward Wagnon on 2006-09-13.
As of what date were the details related to Scott Edward Wagnon most recently updated or revised?
The information pertaining to Scott Edward Wagnon, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-01.
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