Organization
WILLIAM WAGNER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J WAGNER MD (OWNER)
(330) 929-2580
Entity
Organization
Contact information
Practice address
4135 S POWER RD STE 120, MESA, AZ 85212-3626
(330) 929-2580
(480) 361-7388
Mailing address
PO BOX 468, HIGLEY, AZ 85236-0468
(330) 929-2580
(480) 361-7388
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
44925
AZ
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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