Organization
WAGG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ANDREW WAGGONER CSFA (PRESIDENT)
(303) 934-6970
Entity
Organization
Contact information
Practice address
2036 KRAMERIA ST, DENVER, CO 80207-3929
(303) 934-6970
(813) 931-9862
Mailing address
2036 KRAMERIA ST, DENVER, CO 80207-3929
(303) 934-6970
(813) 931-9862
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA.0001218
CO
Other
Enumeration date
02/16/2007
Last updated
09/22/2016
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