Individual
DR. RONALD G WAGNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8000 E MAPLEWOOD AVE STE 120, GREENWOOD VILLAGE, CO 80111-4766
(303) 438-3999
(720) 439-9500
Mailing address
PO BOX 840862, DALLAS, TX 75284-0862
(303) 377-7638
(303) 780-0787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0045310
CO
207L00000X
Anesthesiology Physician
U8501
TX
207LP3000X
Pediatric Anesthesiology Physician
DR.0045310
CO
207LP3000X
Pediatric Anesthesiology Physician
U8501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124588100
—
WY
05
—
133172
—
AZ
05
—
1538116538
—
CO
05
—
1538116538
—
MT
05
—
30004175740001
—
KS
05
—
55236316
—
NM
Enumeration date
05/27/2006
Last updated
09/12/2024
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