Individual
CHRISTOPHER WILLIAM WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(253) 968-1250
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(253) 968-1250
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207P00000X
Emergency Medicine Physician
Primary
0101280169
VA
208D00000X
General Practice Physician
0101280169
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2022
Last updated
08/04/2026
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