Individual
DR. ROGER ALAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
300 PASTEUR DRIVE, FALK CVRC, STANFORD, CA 94305
(650) 736-0640
Mailing address
300 PASTEUR DRIVE, FALK CVRC, STANFORD, CA 94305
(650) 736-0640
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36853
CO
207RC0000X
Cardiovascular Disease Physician
Primary
A73669
CA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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