Organization
MYRON WAGNER CO. INC.
Active
Other names
Wagner Quality Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MYRON WAGNER (PRES.)
(412) 682-2759
Entity
Organization
Contact information
Practice address
4313 BUTLER ST, PITTSBURGH, PA 15201-3009
(412) 682-2759
(412) 682-3920
Mailing address
4313 BUTLER ST, PITTSBURGH, PA 15201-3009
(412) 682-2759
(412) 682-3920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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