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

Dr. Mark Wagoner, MD

Individual provider Hospitalist Physician · NPI 1669177341

Dr. Mark Wagoner, MD is a Hospitalist Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
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

350 W Thomas Rd
Phoenix, AZ 85013-4496
Phone: (602) 406-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 80695 (AZ)

Record details

NPI number1669177341
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing addressPo Box 33269, Phoenix, AZ 85067-3269

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