Search › Oklahoma › 2085R0202X
Derrick Wagoner, D.O
NPI 1760829220 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1800 Renaissance Blvd Ste 110
Edmond, OK 73013 - Phone
- (405) 601-2325
- Organisation at this address
- Limitless Pt Llc
Big Blue Star Llc
Anil D Patel, Pllc
Rupert R Thomas Md Pc
Rupert R Thomas Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 325 Essjay Rd, Williamsville, NY
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-29
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 Oklahoma