DR. CHAD WAGONER, MD
Family Medicine
Active
Individual
NPI: 1871582130
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 2002017031 (MO) |
Frequently Asked Questions
NPI 1871582130 is the National Provider Identifier for DR. CHAD WAGONER, MD, a Family Medicine provider located in Carthage, MO. This NPI was enumerated on October 19, 2005.
DR. CHAD WAGONER, MD practices at 1615 HAZEL ST, Carthage, MO 64836.
Quick Facts
- NPI
- 1871582130
- Type
- Individual
- Enumerated
- Oct 19, 2005
- Last Updated
- Nov 15, 2012
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