SearchWashington101YM0800X

Luke Waggoner

NPI 1518265347 · on the registry since 2011

Practice

Address
1520 Kelley Pl
Walla Walla, WA 99362
Phone
(509) 524-2920
Clinicians at this address
28

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-03-02

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 Washington