Individual
DR. RICHARD A WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 327-5461
Mailing address
11662 E TWIN HILLS TRL, TUCSON, AZ 85748-7932
(520) 360-7997
(520) 647-8851
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26957
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526642
—
AZ
Enumeration date
10/25/2006
Last updated
10/01/2022
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