Organization
JEFFREY D. WAGNER, MD, PC
Active
Other names
Wagner and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D. WAGNER MD (PRESIDENT)
(317) 621-2520
Entity
Organization
Contact information
Practice address
8040 CLEARVISTA PKWY STE 570, INDIANAPOLIS, IN 46256-4673
(317) 621-2580
(317) 621-2580
Mailing address
8040 CLEARVISTA PKWY STE 570, INDIANAPOLIS, IN 46256-4673
(317) 621-2580
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
11/02/2021
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