Individual
DR. JARED PAUL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
636 VALLEY MALL PKWY STE 5, WENATCHEE, WA 98802-4898
(425) 362-9889
(509) 888-7428
Mailing address
636 VALLEY MALL PKWY STE 5, E WENATCHEE, WA 98802-4898
(509) 888-3496
(509) 888-7428
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD60717768
WA
Other
Enumeration date
06/17/2008
Last updated
01/18/2021
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