Jaime Stephan Wagner in Charlotte - Vascular & Interventional Radiology
Jaime Stephan Wagner - NPI 1306021704
Jaime Stephan Wagner is a Vascular & Interventional Radiology in Charlotte, North Carolina. Jaime Stephan Wagner practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Jaime Stephan Wagner is 1306021704. The last update date is 2023-03-10.
Jaime Stephan Wagner's current location address is Po Box 63112, Charlotte, North Carolina. You can contact this provider via phone number 3362749617 and fax number 3364822177. The mailing address for Jaime Stephan Wagner is Po Box 63112, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaime Stephan Wagner |
|---|---|
| Address | Po Box 63112, Charlotte, North Carolina |
| Phone Number | 3362749617 |
| Fax Number | 3364822177 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1306021704 |
|---|---|
| Provider Enumeration Date | 2008-01-03 |
| Last Updated Date | 2023-03-10 |
Provider Mailing Address Detail
| Address | Po Box 63112 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282633112 |
| Phone Number | 3362749617 |
| Fax Number | 3364822177 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | 2012-00139 |
|
Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
|
Post Comment/ Review Below
What is the Jaime Stephan Wagner's unique identification number?
The Jaime Stephan Wagner has been assigned the NPI (National Provider Identifier) Number 1306021704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jaime Stephan Wagner's facilities are geographically located?
The facilities of Jaime Stephan Wagner are physically situated at the following location: Po Box 63112, Charlotte, NC, 282633112.
What is the Jaime Stephan Wagner's area of specialization and corresponding taxonomy classification?
The Jaime Stephan Wagner's specialty field is Vascular & Interventional Radiology, and it falls under the taxonomy code 2085R0204X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306021704 to Jaime Stephan Wagner?
The Centers for Medicare & Medicaid Services originally issued the 1306021704 to Jaime Stephan Wagner on 2008-01-03.
As of what date were the details pertaining to Jaime Stephan Wagner last refreshed?
The information related to the Jaime Stephan Wagner, including its address, specialty, and other relevant details, was last updated on 2023-03-10.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN