Individual
ARIEL E WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 CONSTITUTION BLVD, SALINAS, CA 93906-3100
(831) 783-2316
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A144187
CA
207Q00000X
Family Medicine Physician
MD60838789
WA
Other
Enumeration date
06/22/2015
Last updated
04/16/2021
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