Individual
ELIZABETH C WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3035 HAMILTON MASON RD STE 101, FAIRFIELD TOWNSHIP, OH 45011-5545
(513) 246-2300
(513) 856-9890
Mailing address
3035 HAMILTON MASON RD STE 101, FAIRFIELD TOWNSHIP, OH 45011-5545
(513) 246-2300
(513) 856-9890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007270
OH
Other
Enumeration date
11/30/2021
Last updated
09/04/2025
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