| Doctor Name: | GARY LEE WADDINGTON |
| NPI Number: | 1033103643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 12916 |
| Business Practice Address: | 14239 W Bell Rd Suite 101 Surprise, AZ - 853742469 |
| Business Phone Number: | 6235447755 |
| Business Fax Number: | 6235448665 |
| Mailing Address: | 14239 W Bell Rd, Suite 101 SURPRISE |
| State: | AZ |
| Postal Code: | 853742469 |
| Phone Number: | 6235447755 |
| Fax Number: | 6235448665 |
| NPI Enumeration Date: | 09/09/2005 |
| NPI Last Update Date: | 05/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 12916 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |