Individual
DR. MICHAEL WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR 72703-4797
(479) 582-1212
Mailing address
2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR 72703-4797
(479) 582-1212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2411
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127297722
—
AR
Enumeration date
08/01/2006
Last updated
09/26/2013
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