Individual
DR. JOHN P WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
34800 BOB WILSON DRIVE, DEPT OF ORTHOPAEDIC SURGERY, SAN DIEGO, CA 92134-0001
(619) 532-5404
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 532-5404
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A164955
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A164955
CA
Other
Enumeration date
03/23/2018
Last updated
01/30/2026
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