Individual
DR. JOEL WAGSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
707 HAMILTON STREET, ONE CITY CENTER, 9TH FLOOR, ALLENTOWN, PA 18104-8208
(484) 862-3159
Mailing address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
O-1127
ID
Other
Enumeration date
06/16/2015
Last updated
05/03/2019
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