Organization
ROBERT L WAGUESPACK MD, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L WAGUESPACK MD (OWNER)
(661) 321-3303
Entity
Organization
Contact information
Practice address
2530 F ST, SUITE 101, BAKERSFIELD, CA 93301-3843
(661) 321-3303
(661) 321-3308
Mailing address
PO BOX 406, BAKERSFIELD, CA 93302-0406
(661) 321-3303
(661) 321-3308
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G849950
—
CA
Enumeration date
07/05/2006
Last updated
11/03/2015
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