Walter W Wagner in West Jordan - Chiropractor
Walter W Wagner - NPI 1396894622
Walter W Wagner is a Chiropractor in West Jordan, Utah. Walter W Wagner practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Walter W Wagner is 1396894622. The last update date is 2007-07-08.
Walter W Wagner's current location address is 6271 Dixie Dr Ste 12, West Jordan, Utah. You can contact this provider via phone number 8019666200 and fax number 8019666424. The mailing address for Walter W Wagner is 6271 Dixie Dr Ste 12, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter W Wagner |
|---|---|
| Address | 6271 Dixie Dr Ste 12, West Jordan, Utah |
| Phone Number | 8019666200 |
| Fax Number | 8019666424 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1396894622 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6271 Dixie Dr Ste 12 |
|---|---|
| City | West Jordan |
| State | Utah (UT) |
| Post Code | 840841002 |
| Phone Number | 8019666200 |
| Fax Number | 8019666424 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 291077-1202 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the Walter W Wagner's unique identification number?
The Walter W Wagner has been assigned the NPI (National Provider Identifier) Number 1396894622 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Walter W Wagner is geographically located?
The Walter W Wagner is physically situated at the following location: 6271 Dixie Dr Ste 12, West Jordan, UT, 840841002.
What is Walter W Wagner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Walter W Wagner is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396894622 to Walter W Wagner?
The Walter W Wagner received its 1396894622 assignment from the Centers for Medicare & Medicaid Services on 2007-01-09.
When was the information regarding Walter W Wagner most recently updated?
The details pertaining to the Walter W Wagner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.