Individual
PERRY M. WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 SIERRA ROSE DR, SUITE B, RENO, NV 89511-2072
(775) 322-3311
(775) 322-8388
Mailing address
650 SIERRA ROSE DR, SUITE B, RENO, NV 89511-2072
(775) 322-3311
(775) 322-8388
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD7268
NV
208200000X
Plastic Surgery Physician
MD7268
NV
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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