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Contact Information

MICHAEL WAGGONER, DO
3737 W WALNUT ST
ROGERS, AR72756-1839
 Phone: 479-246-1700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MICHAEL WAGGONER · (Male)

NPI Number 1295963999
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/01/2009
Last updated 06/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-8612
  • MO License # T2009017030
  • OK License # 5341
  • OK Medicaid 200493810A
Hospital affiliation(s)
  • NW ARKANSAS HOSPITALS LLC - (Acute Care)
    609 WEST MAPLE AVENUE
    SPRINGDALE, AR 72764
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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