Individual
DR. THEO DONALDSON WAGES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 705-2499
Mailing address
PO BOX 627, AUBURN, AL 36831-0627
(334) 705-2499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO873
AL
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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