Individual
PAUL D WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVENUE SE, HOSPITALISTS PROGRAM, CHARLESTON, WV 25304
(304) 388-5848
(304) 388-9654
Mailing address
800 GARFIELD AVE, SUITE 304, PARKERSBURG, WV 26101-5340
(304) 420-7161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200001325
NC
207R00000X
Internal Medicine Physician
Primary
23276
WV
Other
Enumeration date
06/15/2006
Last updated
08/01/2016
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