NPI: 1649362948
Provider Name: JUNEAU OBSTETRICS AND GYNECOLOGY, P.C.
Former Legal Business Name: NELL ANN WAGONER, M.D., P.C.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization
Specialization: Gynecology
Address:
3268 HOSPITAL DR STE B
JUNEAU, AK
ZIP 99801
Phone: (907) 586-1717
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JUNEAU OBSTETRICS AND GYNECOLOGY, P.C. is a gynecology obstetrics gynecology in Juneau, AK. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Source: National Uniform Claim Committee JUNEAU OBSTETRICS AND GYNECOLOGY, P.C. NPI is 1649362948. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Nell Ann Wagoner, M.d., P.c..
The provider's business location address is:
3268 HOSPITAL DR STE B
JUNEAU, AK
ZIP 99801-800
Phone: (907) 586-1717
Fax: (907) 586-2677
The provider's authorized official is Nicholas D Newbury .
The authorized official title is Owner and has the following contact phone number (907) 586-1717.
The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/29/2017.