Individual
COLIN JOHN VAN WAGONER
Active
Individual
COLIN JOHN VAN WAGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R82585
AZ
282N00000X
General Acute Care Hospital
—
AZ
Other
Enumeration date
04/17/2026
Last updated
06/03/2026
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