Individual
KRISTA WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(312) 503-7975
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101276757
VA
208000000X
Pediatrics Physician
036.152410
IL
208000000X
Pediatrics Physician
D0094915
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2015
Last updated
12/07/2023
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