Dr CLARENCE H WAGONER JR. CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 1994.
J. ARTHUR DOSHER MEMORIAL HOSPITAL
924 N HOWE ST
SOUTHPORT
NC
284613038
Tel: 9104573800
Npi | 1235126400 |
Pac Id | 4587564414 |
Professional Enrollment Id | I20040108001148 |
Last Name | WAGONER |
First Name | CLARENCE |
Middle Name | H |
Suffix | JR. |
Gender | M |
Credential | CNA |
Medical School Name | OTHER |
Graduation Year | 1994 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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Organization Legal Name | J. ARTHUR DOSHER MEMORIAL HOSPITAL |
Group Practice Pac Id | 8921910324 |
Number Of Group Practice Members | 22 |
Line 1 Street Address | 924 N HOWE ST |
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Marker Of Address Line 2 Suppression | |
City | SOUTHPORT |
State | NC |
Zip Code | 284613038 |
Phone Number | 9104573800 |
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Professional Accepts Medicare Assignment | Y |
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