Wagnon, Alton Harvey
Wagnon, Alton Harvey is an individual health care provider with primary practice located at 2890 E Cottonwood Pkwy , Salt Lake City UT 84121-7035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wagnon, Alton Harvey can be contacted via phone (801) 333-5357.Contact Information
Primary practice address
2890 E Cottonwood Pkwy
Salt Lake City UT 84121-7035
Phone: (801) 333-5357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 84-171442-1205 | Utah |
Profile Details
| NPI number | 1750380176 |
|---|---|
| LBN Legal business name | Wagnon, Alton Harvey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jul 13th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750380176 | NPPES |
| Utah | Other | 84-171442-1205 | STATE LICENSE NO. |
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