Brian Keith Wagner in Farmington - Podiatrist
Brian Keith Wagner - NPI 1093743502
Brian Keith Wagner is a Podiatrist in Farmington, Connecticut. Brian Keith Wagner practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Brian Keith Wagner is 1093743502. The last update date is 2020-08-20.
Brian Keith Wagner's current location address is 11 South Road, Farmington, Connecticut. You can contact this provider via phone number 8604705703 and fax number 8606068025. The mailing address for Brian Keith Wagner is 11 South Road, Farmington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Keith Wagner |
|---|---|
| Address | 11 South Road, Farmington, Connecticut |
| Phone Number | 8604705703 |
| Fax Number | 8606068025 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1093743502 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2020-08-20 |
Provider Mailing Address Detail
| Address | 11 South Road |
|---|---|
| City | Farmington |
| State | Connecticut (CT) |
| Post Code | 6032 |
| Phone Number | 8604705703 |
| Fax Number | 8606068025 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 793 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Post Comment/ Review Below
What is the Brian Keith Wagner's unique identification number?
The Brian Keith Wagner has been assigned the NPI (National Provider Identifier) Number 1093743502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Brian Keith Wagner's physical address?
The Brian Keith Wagner is physically located at 11 South Road, in the city of Farmington, CT, with the postal code 6032.
What is Brian Keith 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 Brian Keith Wagner is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093743502 to Brian Keith Wagner?
The Centers for Medicare & Medicaid Services assigned the 1093743502 to Brian Keith Wagner on 2006-06-30.
When was the information pertaining to Brian Keith Wagner most recently updated or revised?
The details related to Brian Keith Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-20.
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