David Lee Wagner in Indianapolis - Psychiatry
David Lee Wagner - NPI 1144279605
David Lee Wagner is a Psychiatry in Indianapolis, Indiana. David Lee Wagner practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for David Lee Wagner is 1144279605. The last update date is 2012-09-26.
David Lee Wagner's current location address is 1481 W 10th St, Indianapolis, Indiana. You can contact this provider via phone number 3175540000 and fax number 3175540056. The mailing address for David Lee Wagner is 1481 W 10th St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lee Wagner |
|---|---|
| Address | 1481 W 10th St, Indianapolis, Indiana |
| Phone Number | 3175540000 |
| Fax Number | 3175540056 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144279605 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2012-09-26 |
Provider Mailing Address Detail
| Address | 1481 W 10th St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462022803 |
| Phone Number | 3175540000 |
| Fax Number | 3175540056 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 1031872 |
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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 |
|---|---|---|---|
| 200099570B | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David Lee Wagner?
The David Lee Wagner has been issued the NPI (National Provider Identifier) 1144279605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of David Lee Wagner?
The David Lee Wagner is situated at 1481 W 10Th St, in the city of Indianapolis, state of IN, with the zip code 462022803.
What is David Lee 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 David Lee Wagner is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144279605 to David Lee Wagner?
The Centers for Medicare & Medicaid Services originally issued the 1144279605 to David Lee Wagner on 2006-05-10.
When was the information pertaining to David Lee Wagner most recently updated or revised?
The details related to David Lee Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-26.