Paul D Wagner M D Inc in San Diego - Internal Medicine
Paul D Wagner M D Inc - NPI 1043383144
Paul D Wagner M D Inc is a Internal Medicine in San Diego, California. Paul D Wagner M D Inc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Paul D Wagner M D Inc is 1043383144. The last update date is 2022-11-14.
Paul D Wagner M D Inc's current location address is 4060 Fourth Ave, San Diego, California. You can contact this provider via phone number 6197189444 and fax number 6197189440. The mailing address for Paul D Wagner M D Inc is 4060 Fourth Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Paul D Wagner M D Inc |
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Address | 4060 Fourth Ave, San Diego, California |
Phone Number | 6197189444 |
Fax Number | 6197189440 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MGR |
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Authorized Official Name | Johnson Connie |
Telephone Number | 6197189444 |
NPI Number Detail
NPI Number | 1043383144 |
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Provider Enumeration Date | 2006-11-16 |
Last Updated Date | 2022-11-14 |
Provider Mailing Address Detail
Address | 4060 Fourth Ave |
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City | San Diego |
State | California (CA) |
Post Code | 921032120 |
Phone Number | 6197189444 |
Fax Number | 6197189440 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | G77188 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to Paul D Wagner M D Inc by the Centers for Medicare & Medicaid Services?
The Paul D Wagner M D Inc has been issued the NPI (National Provider Identifier) 1043383144, which 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 Paul D Wagner M D Inc?
The Paul D Wagner M D Inc is situated at 4060 Fourth Ave, in the city of San Diego, state of CA, with the zip code 921032120.
What is Paul D Wagner M D Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paul D Wagner M D Inc is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043383144 to Paul D Wagner M D Inc?
The Paul D Wagner M D Inc received its 1043383144 assignment from the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date was the information regarding Paul D Wagner M D Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul D Wagner M D Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-14.
NPI Number: 1215930425
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