Theodore A Wagner in Seattle - Pediatric Orthopaedic Surgery

Theodore A Wagner - NPI 1811077894

Theodore A Wagner is a Pediatric Orthopaedic Surgery in Seattle, Washington. Theodore A Wagner practices all healthcare services and medical treatments related to Pediatric Orthopaedic Surgery. The NPI Number for Theodore A Wagner is 1811077894. The last update date is 2011-09-28.

Theodore A Wagner's current location address is Uwmc-roosevelt, Seattle, Washington. You can contact this provider via phone number 2065984288. The mailing address for Theodore A Wagner is Uwmc-roosevelt, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore A Wagner
Address Uwmc-roosevelt, Seattle, Washington
Phone Number 2065984288
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1811077894
Provider Enumeration Date 2006-10-16
Last Updated Date 2011-09-28

Provider Mailing Address Detail

Address Uwmc-roosevelt
City Seattle
State Washington (WA)
Post Code 981054740
Phone Number 2065984288
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Orthopaedic Surgery
Taxonomy 207Xp3100X
Licence No MD00011315
Definition:
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abn

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
232121 WA L&I
9054 INTERNAL ID-MOTOR VEHICLE ID
1811077894 WA --

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FAQs about Theodore A Wagner

What is the Theodore A Wagner's 1811077894?

The Theodore A Wagner's NPI (National Provider Identifier) Number is 1811077894. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Theodore A Wagner's facilities are situated?

The facilities of Theodore A Wagner are physically located at the following address: Uwmc-Roosevelt, Seattle, WA, 981054740.

What is the area of specialization for Theodore A Wagner, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Theodore A Wagner is Pediatric Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Xp3100X.

On what date did the Centers for Medicare & Medicaid Services assign the 1811077894 to Theodore A Wagner?

The Centers for Medicare & Medicaid Services assigned the 1811077894 to Theodore A Wagner on 2006-10-16.

As of what date were the details related to Theodore A Wagner most recently updated or revised?

The information pertaining to Theodore A Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-28.

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