Individual
MR. RONALD W WAGNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2635 G ST, BAKERSFIELD, CA 93301-2813
(661) 633-1500
(661) 633-2700
Mailing address
2635 G ST, BAKERSFIELD, CA 93301-2813
(661) 633-1500
(661) 633-2700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001210184
VA
163W00000X
Registered Nurse
566138
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA4061
CA
Other
Enumeration date
02/09/2009
Last updated
05/22/2015
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