Organization
RICHARD W WAGUESPACK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN OGLE (MANAGER)
(205) 933-9036
Entity
Organization
Contact information
Practice address
2660 10TH AVE S STE 201, BIRMINGHAM, AL 35205-1623
(205) 933-9036
Mailing address
2660 10TH AVE S STE 201, BIRMINGHAM, AL 35205-1623
(205) 933-9036
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00009093
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528901440
—
AL
Enumeration date
03/21/2007
Last updated
12/01/2009
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