Whalio Doctors

NPI 1033103643

Gary Lee Waddington, MD

Practitioner Dermatology Physician Surprise, AZ

Practice location

Address
14239 W Bell Rd Suite 101, Surprise, AZ 85374-2469
Phone
(623) 544-7755
Fax
(623) 544-8665

Registered specialties (8)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 12916 (AZ)
Allergy Physician
Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 12916 (AZ)
Allergy & Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 12916 (AZ)
Clinical & Laboratory Dermatological Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NI0002X Licence 12916 (AZ)
Procedural Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 12916 (AZ)
Dermatopathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 12916 (AZ)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 12916 (AZ)
Pediatric Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence 12916 (AZ)

Registry record

NPI
1033103643
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Sep 2005
Record last updated
15 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.