BRIAN GEORGE WAGONER

SPRINGFIELD, MO
NPI1306083480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  155580)
Enumeration Date2009-01-12
Last Update Date2009-06-10
Business Address
Mr. BRIAN GEORGE WAGONER RN, FNP BC
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-9729
Mailing Address
Mr. BRIAN GEORGE WAGONER RN, FNP BC
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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