Michael Waggoner OD PA
Michael Waggoner OD PA is a Health Maintenance Organization in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2010.
- Licensed in
- AR
- In the registry since
- 2010
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2630 E Citizens Dr Ste 6Fayetteville, AR 72703-4797
Phone: (479) 582-1212
Fax: (479) 582-2070
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 2411 (AR) |
|---|
Record details
| NPI number | 1992021190 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Waggoner — Owner · (479) 582-1212 |
| NPI enumerated | April 13, 2010 |
| Last updated in NPPES | August 12, 2015 |
| Mailing address | 2630 E Citizens Dr Ste 6, Fayetteville, AR 72703-4797 |
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