Robert Clark Wagner in Arlington - Specialist
Robert Clark Wagner - NPI 1972568293
Robert Clark Wagner is a Specialist in Arlington, Virginia. Robert Clark Wagner practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert Clark Wagner is 1972568293. The last update date is 2011-10-27.
Robert Clark Wagner's current location address is 1635 N George Mason Dr, Arlington, Virginia. You can contact this provider via phone number 7032437677 and fax number 7032435416. The mailing address for Robert Clark Wagner is 1635 N George Mason Dr, Arlington, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Clark Wagner |
|---|---|
| Address | 1635 N George Mason Dr, Arlington, Virginia |
| Phone Number | 7032437677 |
| Fax Number | 7032435416 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972568293 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2011-10-27 |
Provider Mailing Address Detail
| Address | 1635 N George Mason Dr |
|---|---|
| City | Arlington |
| State | Virginia (VA) |
| Post Code | 222053601 |
| Phone Number | 7032437677 |
| Fax Number | 7032435416 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101030296 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7393202 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Clark Wagner by the Centers for Medicare & Medicaid Services?
The Robert Clark Wagner has been assigned the NPI (National Provider Identifier) 1972568293. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Robert Clark Wagner is geographically located?
The Robert Clark Wagner is physically situated at the following location: 1635 N George Mason Dr, Arlington, VA, 222053601.
What is Robert Clark Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Clark Wagner's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972568293 to Robert Clark Wagner?
The Centers for Medicare & Medicaid Services assigned the 1972568293 to Robert Clark Wagner on 2006-04-19.
When was the information regarding Robert Clark Wagner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Robert Clark Wagner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-10-27.