BRIAN LEO WAGGONER

CLIVE, IA
NPI1679544548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IA  28129)
Enumeration Date2006-01-30
Last Update Date2016-12-23
Business Address
DR. BRIAN LEO WAGGONER M.D.
2555 BERKSHIRE PKWY STE A
CLIVE, IA 50325-4646
Phone number: 515-987-0051
Mailing Address
DR. BRIAN LEO WAGGONER M.D.
2555 BERKSHIRE PKWY STE A
CLIVE, IA 50325-4646
Phone number: 515-987-0051
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