JOHN A VANWAGONER

JOHN ALLEN VAN WAGONER, MD, PA

Dr JOHN A VANWAGONER is a male medical professional, specializing in Allergy/immunology. He graduated in 1996 from University Of Texas Southwestern Medical School At Dallas.

Contact

JOHN ALLEN VAN WAGONER, MD, PA

5012S US HWY 75 150
DENISON
TX
750204594

Tel: 9034638400

JOHN A VANWAGONER Information

Npi 1053389502
Pac Id 9133253198
Professional Enrollment Id I20100813000139
Last Name VANWAGONER
First Name JOHN
Middle Name A
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year 1996
Primary Specialty ALLERGY/IMMUNOLOGY
Secondary Specialty 1
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Secondary Specialty 4
All Secondary Specialties
Organization Legal Name JOHN ALLEN VAN WAGONER, MD, PA
Group Practice Pac Id 9335273390
Number Of Group Practice Members 3
Line 1 Street Address 5012S US HWY 75 150
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DENISON
State TX
Zip Code 750204594
Phone Number 9034638400
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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