Individual
HALEY WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 HOSPITAL PL STE 305, SOLDOTNA, AK 99669-7559
(907) 714-4130
(844) 412-3946
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4130
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
AK
Other
Enumeration date
06/29/2019
Last updated
02/28/2022
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