REX D WAGGONER PA
Nursing at Maple Ave, Springdale, AR

License number
Arkansas C00272
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
Owner
Name: MR. REX D WAGGONER CRNA
Title: PRESIDENT
Phone: (479) 751-6352
Address
Address
609 W Maple Ave, Springdale, AR 72764
National Provider ID: 1285859009
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about REX D WAGGONER PA at bizstanding.com

REX D. WAGGONER, PA

1307 Overo Cir, Springdale, AR 72764

Status:
Inactive
Registration:
Dec 2, 1985
State ID:
100053777
Business type:
For Profit Corporation
President:
Rex Waggoner (President)
Agent:
Rex D. Waggoner (I),1307 Overo Cir, Springdale, AR 72764 (Physical)
Filled under act:
Dom Bus & Prof Corp; 576 of 1965 & 155 of 1963

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