Individual
BARBARA ANN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2809 OLIVE HIGHWAY, SUITE #350, OROVILLE, CA 95966
(530) 532-8654
Mailing address
PO BOX 5040, OROVILLE, CA 95966
(530) 532-8584
(530) 532-8433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17371
CA
Other
Enumeration date
08/31/2006
Last updated
02/11/2011
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