Individual
DR. SCOTT BRIAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2109 INDIA RD, CHARLOTTESVILLE, VA 22901-2886
(434) 978-4888
(434) 978-3633
Mailing address
2109 INDIA RD, CHARLOTTESVILLE, VA 22901-2886
(434) 978-4888
(434) 978-3633
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104555923
VA
Other
Enumeration date
06/30/2006
Last updated
02/13/2023
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