Individual
DR. DAVID IRA WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 RIVER OAKS DR, SUITE 200, FLOWOOD, MS 39232-9564
(601) 420-0134
(601) 420-0547
Mailing address
1050 RIVER OAKS DR, SUITE 200, FLOWOOD, MS 39232-9564
(601) 420-0134
(601) 420-0547
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13919
MS
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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