Individual
JUSTIN WAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEMORIAL MEDICAL PKWY, STE 100, PALM COAST, FL 32164-5979
(386) 586-2060
(386) 586-4659
Mailing address
1 MEMORIAL MEDICAL PKWY STE 100, PALM COAST, FL 32164
(386) 586-2060
(386) 586-4659
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
174621
FL
2085R0001X
Radiation Oncology Physician
Primary
263230
MA
Other
Enumeration date
06/21/2015
Last updated
05/13/2026
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