Individual
NEAL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 861-3640
Mailing address
1375 E 20TH AVE, DENVER, CO 80205-5422
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
3552
CO
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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