Wagoner, Gary L

Wagoner, Gary L is an sole proprietor health care provider with primary practice located at 1337 S Gilbert Rd Ste 105 , Mesa AZ 85204. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Occupational Health. Chiropractic Providers / Occupational Health is his primary health care specialty. Wagoner, Gary L can be contacted via phone (480) 343-0585.

Contact Information

Primary practice address
1337 S Gilbert Rd Ste 105 Mesa AZ 85204
Phone: (480) 343-0585
Fax: (480) 635-1719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X DC28876 California
Chiropractic Providers / Occupational Health 111NX0100X 8098 Arizona

Profile Details

NPI number 1932282878
LBN Legal business name Wagoner, Gary L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated May 23rd, 2018 - about 7 years 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.

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