Individual
JOSHUA D. WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10101 N 92ND ST STE 101, SCOTTSDALE, AZ 85258-4553
(480) 747-6532
(480) 889-6865
Mailing address
10101 N 92ND ST STE 101, SCOTTSDALE, AZ 85258-4553
(480) 747-6532
(480) 889-6865
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
47969
AZ
207R00000X
Internal Medicine Physician
47969
AZ
207R00000X
Internal Medicine Physician
N3380
TX
207RC0000X
Cardiovascular Disease Physician
47969
AZ
207RI0011X
Interventional Cardiology Physician
Primary
47969
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206687002
—
TX
05
—
206687003
—
TX
05
—
206687004
—
TX
05
—
206687005
—
TX
05
—
820654
—
AZ
Enumeration date
08/13/2007
Last updated
07/27/2023
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