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Individual

DR. JEFFREY C WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
499 E HAMPDEN AVE, SUITE 360, ENGLEWOOD, CO 80113-2780
(303) 781-4485
(303) 788-7666
Mailing address
499 E HAMPDEN AVE STE 360, ENGLEWOOD, CO 80113-3877
(303) 781-4485

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
26744
NE
2084N0400X
Neurology Physician
6312366-1205
UT
2084N0400X
Neurology Physician
64995
WI
2084N0600X
Clinical Neurophysiology Physician
Primary
48115
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
COA105215
MEMORIAL HOSPITAL UPIN
CO
Enumeration date
05/04/2007
Last updated
10/23/2025
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