Mark S Wagner is a General Practice in Pasadena, California. Mark S Wagner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark S Wagner is 1700821709. The last update date is 2015-09-01.
Mark S Wagner's current location address is Po Box 94026, Pasadena, California. You can contact this provider via phone number 7145588038 and fax number 7145586033. The mailing address for Mark S Wagner is Po Box 94026, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark S Wagner |
|---|---|
| Address | Po Box 94026, Pasadena, California |
| Phone Number | 7145588038 |
| Fax Number | 7145586033 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700821709 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2015-09-01 |
Provider Mailing Address Detail
| Address | Po Box 94026 |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911094026 |
| Phone Number | 7145588038 |
| Fax Number | 7145586033 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | G42267 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G422670 | CA | -- |
Post Comment/ Review Below
Could you provide the complete address where Mark S Wagner is physically located?
The Mark S Wagner is situated at the following address: Po Box 94026, Pasadena, CA 911094026.
Could you please share the complete physical location address where Mark S Wagner's facilities are situated?
The facilities of Mark S Wagner are physically located at the following address: Po Box 94026, Pasadena, CA, 911094026.
On what date was the 1700821709 assigned to Mark S Wagner?
The Mark S Wagner was issued its 1700821709 on 2006-06-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark S Wagner most recently updated?
The details pertaining to the Mark S Wagner, including its address, specialty, and other relevant information, were last refreshed on 2015-09-01.
As of what date was the information pertaining to Mark S Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark S Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-01.
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