Individual
DAVID K. WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 S GRAND AVE, EMERGENCY DEPARTMENT, LOS ANGELES, CA 90015-3010
(213) 748-2411
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G62145
CA
Other
Enumeration date
05/16/2006
Last updated
03/01/2018
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