MICHAEL WAGGONER

FAYETTEVILLE, AR
NPI1639185341
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: AR  ar2411)
Enumeration Date2006-08-01
Last Update Date2013-09-26
Business Address
Dr. MICHAEL WAGGONER O.D.
2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703-4797
Phone number: 479-582-1212
Mailing Address
Dr. MICHAEL WAGGONER O.D.
2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703-4797
Phone number: 479-582-1212
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