Individual
MR. JONATHAN PAUL WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T. (R)(CT)(MR)(BD)
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(541) 733-2411
Mailing address
1390 COUNTY RD. 411, CLANTON, AL 35045
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
576416
OR
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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