Individual
SCOTT WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1228 18TH AVE, SIDNEY, NE 69162-1926
(308) 249-1724
Mailing address
1228 18TH AVE, SIDNEY, NE 69162-1926
(308) 249-1724
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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