Individual
GEORGE ANDREW WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
2036 KRAMERIA ST, DENVER, CO 80207-3929
(303) 934-6970
Mailing address
2036 KRAMERIA ST, DENVER, CO 80207-3929
(303) 934-6970
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA.0001218
CO
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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