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Shy Wagoner, CST
NPI 1164655452 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2921 Montvale Dr
Springfield, IL 62704 - Phone
- (217) 787-2700
- Fax
- (217) 787-2715
- Organisation at this address
- Foot & Ankle Center Of Illinois Pc
Springfield Neurosurgical Assocaites, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Surgical Technologist
246ZS0410X
- Sex
- Female
- Record last updated
- 2012-02-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois