Individual
DR. JASON DANIEL WAGGANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 UNIVERSITY PLZ STOP 7650, CAPE GIRARDEAU, MO 63701-4710
(573) 651-2664
Mailing address
1 UNIVERSITY PLZ STOP 7650, CAPE GIRARDEAU, MO 63701-4710
(573) 651-2664
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
13817
MO
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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