Individual
DR. AMANDA WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1797
(480) 321-2000
Mailing address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 321-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
008718
AZ
208M00000X
Hospitalist Physician
008718
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
02/23/2023
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