Eric Matthew Wagoner, PA-C
Physician Assistant · Fresno, CA
NPI number
1649603036
Practice location
2139 E Beechwood AveFresno, CA 93720-0340
- Phone
- (559) 322-6600
NPI record
- NPI
- 1649603036
- Entity type
- Individual (Type 1)
- Enumeration date
- August 21, 2013
- Last updated
- June 19, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
— | — |
About Eric Wagoner
Eric Matthew Wagoner, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2139 E Beechwood Ave, Fresno, CA 93720-0340. The NPI number 1649603036 was assigned on August 21, 2013 and the record was last updated on June 19, 2015.
Frequently asked questions
What is the NPI number of Eric Matthew Wagoner, PA-C?
The NPI number is 1649603036.
What is the phone number of Eric Wagoner?
The phone number listed for the practice location is (559) 322-6600.
Where is Eric Wagoner located?
2139 E Beechwood Ave, Fresno, CA 93720-0340.
What is the taxonomy code for Eric Wagoner?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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