SearchIllinoisSurgical Technologist

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