MICHAEL A WAGNON

SAN ANGELO, TX
NPI1992795645
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TX  K7486)
Enumeration Date2005-10-25
Last Update Date2011-11-22
Business Address
-- MICHAEL A WAGNON DO
225 E BEAUREGARD AVE
SAN ANGELO, TX 76903-5920
Phone number: 325-658-1511
Mailing Address
-- MICHAEL A WAGNON DO
PO BOX 22000
SAN ANGELO, TX 76902-7200
Phone number: 325-658-1511
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