Individual
MONICA ELAINE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 E CAMELBACK RD, SUITE 175, PHOENIX, AZ 85018
(602) 840-3120
(602) 840-3237
Mailing address
3333 E CAMELBACK RD, SUITE 175, PHOENIX, AZ 85018
(602) 840-3120
(602) 840-3237
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36955
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282693
—
AZ
Enumeration date
01/18/2007
Last updated
04/04/2022
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