Organization
MITCHELL S WAGNER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL S WAGNER M.D. (PRESIDENT)
(602) 903-0443
Entity
Organization
Contact information
Practice address
60 E RIO SALADO PKWY, STE 505, TEMPE, AZ 85281-9128
(602) 903-0443
(480) 777-1345
Mailing address
60 E RIO SALADO PKWY, STE 505, TEMPE, AZ 85281-9128
(602) 903-0443
(480) 777-1345
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27272
AZ
Other
Enumeration date
04/15/2011
Last updated
09/29/2011
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