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Individual

STEPHANIE WAGGONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2000
Mailing address
4401 WORNALL RD, KANSAS CITY, MO 64111-3241

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2023022054
MO
2084P0800X
Psychiatry Physician
0000000000000
CO

Other

Enumeration date
12/21/2021
Last updated
06/10/2023
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