Individual
MRS. JULIE M. WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3471 5TH AVENUE, 1110, PITTSBURGH, PA 15213-3221
(412) 692-2478
(412) 692-2486
Mailing address
3471 FIFTH AVENUE, SUITE 1110, PITTSBURGH, PA 15213-3221
(412) 692-2478
(412) 692-2486
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA-003071-L
PA
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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