REX DWAYNE WAGGONER

SPRINGDALE, AR
NPI1790769164
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  26949)
Enumeration Date2005-11-30
Last Update Date2007-07-09
Business Address
Mr. REX DWAYNE WAGGONER crna
609 W MAPLE AVE
SPRINGDALE, AR 72764-5335
Phone number: 479-757-5711
Mailing Address
Mr. REX DWAYNE WAGGONER crna
1307 OVERO CIR
SPRINGDALE, AR 72762-2129
Phone number: 479-756-2252
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