Search › Arizona › 111NX0100X
Gary Wagoner, D.C
NPI 1932282878 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1337 S Gilbert Rd Ste 105
Mesa, AZ 85204 - Phone
- (480) 343-0585
- Fax
- (480) 635-1719
- Organisation at this address
- Dsi Renal Inc
Usrc Mesa, Llc
Dialysis Newco Llc
Maxim Chiropractic Two
Lexington Aba SolutionsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 111NX0100X
111NX0100X
- Also registered as
- 111NR0400X
- Licence states on file
- CA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-23
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 Arizona