Search › Indiana › 171M00000X
Gary Wagoner, BS
NPI 1871739037 · on the registry since 2008
Practice
- Address
- 415 Mulberry Street
Evansville, IN 47713 - Phone
- (812) 423-7791
- Fax
- (812) 422-7558
- Organisation at this address
- Genoa Healthcare Llc
Southwestern Behavioral Healthcare, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 76
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2008-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana