CLARENCE H WAGONER JR. CNA

J. ARTHUR DOSHER MEMORIAL HOSPITAL

Dr CLARENCE H WAGONER JR. CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 1994.

Contact

J. ARTHUR DOSHER MEMORIAL HOSPITAL

924 N HOWE ST
SOUTHPORT
NC
284613038

Tel: 9104573800

CLARENCE H WAGONER JR. CNA Information

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)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SOUTHPORT
State NC
Zip Code 284613038
Phone Number 9104573800
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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