Dr. Gary L Wagoner
Occupational Health Rehabilitation Chiropractor
1337 S Gilbert Rd Ste 105
Mesa
, Arizona 85204
Dr. Gary L Wagoner
Occupational Health Rehabilitation Chiropractor
1337 S Gilbert Rd Ste 105
Mesa
, Arizona 85204
(480) 635-1719
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About
Features
Specialties
- Rehabilitation Chiropractor
- Occupational Health
Languages spoken
- English
Location
First Address
- Dr. Gary L Wagoner
- Po Box 9616
- Chandler Heights, AZ
- Zip : 85227
- Fax : (480) 635-1719
- Phone : (480) 343-0585
Second Address
- Dr. Gary L Wagoner
- 1337 S Gilbert Rd Ste 105
- Mesa, AZ
- Zip : 85204
- Fax : (480) 635-1719
- Phone : (480) 343-0585
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111NR0400X | Rehabilitation Chiropractor | DC28876 | CA |
| Y | 111NX0100X | Occupational Health | 8098 | AZ |
National Provider Identifier
| NPI | 1932282878 |
|---|---|
| Provider Name | Dr. Gary L Wagoner |
| First Address | Chandler Heights, AZ 85227 |
| Second Address | Mesa, AZ 85204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2006 |
| Last Update Date | 23/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.