CHAD ERIC WAGONER

CARTHAGE, MO
NPI1871582130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2002017031)
Enumeration Date2005-10-19
Last Update Date2012-11-15
Business Address
Dr. CHAD ERIC WAGONER MD
1615 HAZEL ST
CARTHAGE, MO 64836-3020
Phone number: 417-359-8803
Mailing Address
Dr. CHAD ERIC WAGONER MD
1615 HAZEL ST
CARTHAGE, MO 64836-3020
Phone number: 417-359-8803
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