Individual
CLINTON WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 476-8602
(850) 474-3518
Mailing address
PO BOX 9210, PENSACOLA, FL 32513-9210
(850) 476-8602
(850) 474-3518
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
26192
AL
2085R0202X
Diagnostic Radiology Physician
Primary
ME111431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007825700
—
FL
05
—
110982
—
AL
05
—
111222
—
AL
05
—
111224
—
AL
05
—
111236
—
AL
05
—
111237
—
AL
05
—
111238
—
AL
05
—
145235
—
AL
01
—
14P2L
BCBS OF FLORIDA
FL
01
—
51067334
BCBS
AL
01
—
51599265
BCBS
AL
01
—
51599266
BCBS
AL
01
—
51599267
BCBS
AL
01
—
51599269
BCBS
AL
01
—
51599270
BCBS
AL
01
—
51599271
BCBS
AL
01
—
592-19398
BCBS OF ALABAMA
FL
01
—
P01133899
RAILROAD MEDICARE
FL
Enumeration date
05/14/2007
Last updated
09/27/2023
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