Van L Wagner in Saint Louis - Surgery

Van L Wagner - NPI 1316028186

Van L Wagner is a Surgery in Saint Louis, Missouri. Van L Wagner practices all healthcare services and medical treatments related to Surgery. The NPI Number for Van L Wagner is 1316028186. The last update date is 2012-08-21.

Van L Wagner's current location address is Po Box 29255, Saint Louis, Missouri. You can contact this provider via phone number 3147767112 and fax number 3147767114. The mailing address for Van L Wagner is Po Box 29255, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Van L Wagner
Address Po Box 29255, Saint Louis, Missouri
Phone Number 3147767112
Fax Number 3147767114
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1316028186
Provider Enumeration Date 2006-10-18
Last Updated Date 2012-08-21

Provider Mailing Address Detail

Address Po Box 29255
City Saint Louis
State Missouri (MO)
Post Code 631260255
Phone Number 3147767112
Fax Number 3147767114

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 2003009179
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Van L Wagner

What is the unique 10-digit identification code issued to Van L Wagner by the Centers for Medicare & Medicaid Services?

The Van L Wagner has been assigned the NPI (National Provider Identifier) 1316028186 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Van L Wagner is physically located?

The Van L Wagner is situated at the following address: Po Box 29255, Saint Louis, MO 631260255.

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

The specialized field of practice for Van L Wagner is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1316028186 to Van L Wagner?

The Van L Wagner received its 1316028186 assignment from the Centers for Medicare & Medicaid Services on 2006-10-18.

When was the information regarding Van L Wagner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Van L Wagner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-08-21.

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