Douglas E Wagner in Grass Valley - Pediatrics

Douglas E Wagner - NPI 1154340479

Douglas E Wagner is a Pediatrics in Grass Valley, California. Douglas E Wagner practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Douglas E Wagner is 1154340479. The last update date is 2007-07-08.

Douglas E Wagner's current location address is Po Box 459001, Grass Valley, California. You can contact this provider via phone number 5302729780 and fax number 5302720156. The mailing address for Douglas E Wagner is Po Box 459001, Grass Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas E Wagner
Address Po Box 459001, Grass Valley, California
Phone Number 5302729780
Fax Number 5302720156
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1154340479
Provider Enumeration Date 2006-07-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 459001
City Grass Valley
State California (CA)
Post Code 959459101
Phone Number 5302729780
Fax Number 5302720156

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No A26753
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Douglas E Wagner

What is the unique identifier code issued to Douglas E Wagner by the Centers for Medicare & Medicaid Services (CMS)?

The Douglas E Wagner has been assigned the NPI (National Provider Identifier) 1154340479. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

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

The facilities of Douglas E Wagner are physically located at the following address: Po Box 459001, Grass Valley, CA, 959459101.

What is Douglas E Wagner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Douglas E Wagner is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Douglas E Wagner receive the assignment of its 1154340479 from the Centers for Medicare & Medicaid Services?

The Douglas E Wagner was issued its 1154340479 by the Centers for Medicare & Medicaid Services on 2006-07-18.

When was the information related to Douglas E Wagner most recently updated or refreshed?

The details pertaining to the Douglas E Wagner, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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