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

Colin John Van Wagoner, MD

Individual provider General Acute Care Hospital · NPI 1629912696

Colin John Van Wagoner, MD is a General Acute Care Hospital in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone: (520) 694-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence R82585 (AZ)
General Acute Care Hospital Taxonomy 282N00000X (AZ)

Record details

NPI number1629912696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 17, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address1107 E Round Mountain Dr, Alpine, UT 84004-1846

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