Individual
DR. WARD WALLACE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
352 E RIVERSIDE DR STE A1, ST GEORGE, UT 84790-6834
(435) 656-4441
Mailing address
1427 MAJESTIC VIEW DR, WASHINGTON, UT 84780-2376
(435) 656-4441
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
323936-1202
UT
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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