Mark Elliot Wagner in Reading - Family Medicine
Mark Elliot Wagner - NPI 1033202502
Mark Elliot Wagner is a Family Medicine in Reading, Pennsylvania. Mark Elliot Wagner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Elliot Wagner is 1033202502. The last update date is 2020-02-11.
Mark Elliot Wagner's current location address is 623 N 5th St, Reading, Pennsylvania. You can contact this provider via phone number 6103748585 and fax number 6103742574. The mailing address for Mark Elliot Wagner is 623 N 5th St, Reading, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Elliot Wagner |
|---|---|
| Address | 623 N 5th St, Reading, Pennsylvania |
| Phone Number | 6103748585 |
| Fax Number | 6103742574 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1033202502 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2020-02-11 |
Provider Mailing Address Detail
| Address | 623 N 5th St |
|---|---|
| City | Reading |
| State | Pennsylvania (PA) |
| Post Code | 196012201 |
| Phone Number | 6103748585 |
| Fax Number | 6103742574 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS005358-L |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 966530 | PA | -- |
Post Comment/ Review Below
What is the Mark Elliot Wagner's 1033202502?
The Mark Elliot Wagner's NPI (National Provider Identifier) Number is 1033202502. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark Elliot Wagner?
The Mark Elliot Wagner is situated at 623 N 5Th St, in the city of Reading, state of PA, with the zip code 196012201.
What is Mark Elliot Wagner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Elliot Wagner is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date was the 1033202502 assigned to Mark Elliot Wagner?
The Mark Elliot Wagner was issued its 1033202502 on 2006-10-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark Elliot Wagner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Elliot Wagner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-11.