Peter John Wagner in Rancho Mirage - Psychiatry
Peter John Wagner - NPI 1962403774
Peter John Wagner is a Psychiatry in Rancho Mirage, California. Peter John Wagner practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Peter John Wagner is 1962403774. The last update date is 2021-11-15.
Peter John Wagner's current location address is 39000 Bob Hope Dr, Rancho Mirage, California. You can contact this provider via phone number 7608378767 and fax number 7608378806. The mailing address for Peter John Wagner is 39000 Bob Hope Dr, Rancho Mirage, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter John Wagner |
|---|---|
| Address | 39000 Bob Hope Dr, Rancho Mirage, California |
| Phone Number | 7608378767 |
| Fax Number | 7608378806 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962403774 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2021-11-15 |
Provider Mailing Address Detail
| Address | 39000 Bob Hope Dr |
|---|---|
| City | Rancho Mirage |
| State | California (CA) |
| Post Code | 922703221 |
| Phone Number | 7608378767 |
| Fax Number | 7608378806 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 36158 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11902761 | CO | -- |
Post Comment/ Review Below
Can you provide the Peter John Wagner's physical address?
The Peter John Wagner is physically located at 39000 Bob Hope Dr, in the city of Rancho Mirage, CA, with the postal code 922703221.
What is the Peter John Wagner's area of specialization and corresponding taxonomy classification?
The Peter John Wagner's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
What is Peter John Wagner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peter John Wagner is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
On what date did the Peter John Wagner receive its 1962403774 assignment from the Centers for Medicare & Medicaid Services?
The Peter John Wagner was assigned its 1962403774 by the Centers for Medicare & Medicaid Services on 2005-08-02.
As of what date were the Peter John Wagner's details last updated?
The information pertaining to the Peter John Wagner, including its address, specialty, and other details, was most recently updated on 2021-11-15.