Wagnon, Alton Harvey

Wagnon, Alton Harvey is an individual health care provider with primary practice located at 2890 E Cottonwood Pkwy , Salt Lake City UT 84121-7035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wagnon, Alton Harvey can be contacted via phone (801) 333-5357.

Contact Information

Primary practice address
2890 E Cottonwood Pkwy Salt Lake City UT 84121-7035
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 84-171442-1205 Utah

Profile Details

NPI number 1750380176
LBN Legal business name Wagnon, Alton Harvey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750380176 NPPES
Utah Other 84-171442-1205 STATE LICENSE NO.

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