Individual
DR. JOHN W. WAGGONER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 LILLY RD NE, SUITE 100, OLYMPIA, WA 98506-5195
(360) 413-5825
(360) 413-8837
Mailing address
500 LILLY RD NE, SUITE 100, OLYMPIA, WA 98506-5195
(360) 413-5825
(360) 413-8837
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD00046169
WA
Other
Enumeration date
05/24/2006
Last updated
04/28/2021
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