William Wagner Md Pc | |
4135 S Power Rd Ste 120 Mesa AZ 85212-3626 | |
(330) 929-2580 | |
(480) 361-7388 |
Full Name | William Wagner Md Pc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 4135 S Power Rd Ste 120, Mesa, Arizona |
Authorized Official Name and Position | William J Wagner (OWNER) |
Authorized Official Contact | 3309292580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
William Wagner Md Pc Po Box 468 Higley AZ 85236-0468 Ph: (330) 929-2580 | William Wagner Md Pc 4135 S Power Rd Ste 120 Mesa AZ 85212-3626 Ph: (330) 929-2580 |
NPI Number | 1891073573 |
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Provider Enumeration Date | 07/28/2011 |
Last Update Date | 07/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891073573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 44925 (Arizona) | Primary |
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