Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rex D Waggoner PA

Organization Certified Registered Nurse Anesthetist · NPI 1285859009

Rex D Waggoner PA is a Certified Registered Nurse Anesthetist in Springdale, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

609 W Maple Ave
Springdale, AR 72764-5335
Phone: (479) 751-5711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence C00272 (AR)

Record details

NPI number1285859009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rex Waggoner — President · (479) 751-6352
NPI enumeratedApril 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 580, Springdale, AR 72765-0580

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