| Gary Wagner, MD | |
|
600 Coffee Rd, Modesto, CA 95355-4201 | |
| (209) 524-1211 | |
| Not Available |
| Full Name | Gary Wagner |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 600 Coffee Rd, Modesto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235160102 | NPI | - | NPPES |
| 00A249871 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A24987 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Wagner, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097 | Gary Wagner, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 |
Mr. Blake Daniel Alexander, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1101 Standiford Ave, Suite A-3, Modesto, CA 95350 Phone: 209-578-5072 Fax: 209-578-5292 | |
Dr. Shirley Lynne Van, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1429 College Ave, Suite B, Modesto, CA 95350 Phone: 209-526-2242 | |
Thomas G Salopek, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 | |
Dr. Daniel Jerome Trozak, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1444 Florida Ave, Ste 201, Modesto, CA 95350 Phone: 209-526-4384 | |
Dr. Purita Z Villanueva, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350 Phone: 209-572-3224 Fax: 209-572-4528 | |
Kinston Cummings, Dermatology Medicare: Medicare Enrolled Practice Location: 3105 Mchenry Ave Ste 101, Modesto, CA 95350 Phone: 209-575-2700 |