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

Mr. Richard Adam Waggoner, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1548242514

Mr. Richard Adam Waggoner, PHYSICIANASSISTANT is a Medical Physician Assistant in Wpafb, Ohio. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

4881 Sugar Maple Dr
Wpafb, OH 45433-5546
Phone: (937) 257-0770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1548242514
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESAugust 16, 2007

Other providers in Wpafb