Individual
DR. WALTER W WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6271 DIXIE DR STE 12, WEST JORDAN, UT 84084-1002
(801) 966-6200
(801) 966-6424
Mailing address
6271 DIXIE DR STE 12, WEST JORDAN, UT 84084-1002
(801) 966-6200
(801) 966-6424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
291077-1202
UT
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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