David A Wagner is a Pediatrics in Seneca, Pennsylvania. David A Wagner practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for David A Wagner is 1295754778. The last update date is 2012-07-25.
David A Wagner's current location address is 3285 State Route 257, Seneca, Pennsylvania. You can contact this provider via phone number 8146776636 and fax number 8146779562. The mailing address for David A Wagner is 3285 State Route 257, Seneca, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | David A Wagner |
---|---|
Address | 3285 State Route 257, Seneca, Pennsylvania |
Phone Number | 8146776636 |
Fax Number | 8146779562 |
Sole Proprietor | Y |
Credentials | OD |
NPI Number Detail
NPI Number | 1295754778 |
---|---|
Provider Enumeration Date | 2006-07-18 |
Last Updated Date | 2012-07-25 |
Provider Mailing Address Detail
Address | 3285 State Route 257 |
---|---|
City | Seneca |
State | Pennsylvania (PA) |
Post Code | 163462529 |
Phone Number | 8146776636 |
Fax Number | 8146779562 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
---|---|
Taxonomy | 152Wp0200X |
Licence No | OEG000125 |
Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
18040170003 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to David A Wagner by the Centers for Medicare & Medicaid Services?
The David A Wagner has been issued the NPI (National Provider Identifier) 1295754778. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David A Wagner?
The David A Wagner is situated at 3285 State Route 257, in the city of Seneca, state of PA, with the zip code 163462529.
What is David A Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David A Wagner's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 152Wp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295754778 to David A Wagner?
The Centers for Medicare & Medicaid Services originally issued the 1295754778 to David A Wagner on 2006-07-18.
When was the information pertaining to David A Wagner most recently updated or revised?
The details related to David A Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-25.