Individual
STANLEY CHARLES WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5001 N PIEDRAS ST, CARDIOLOGY SERVICE, EL PASO, TX 79930-4210
(915) 564-7555
(915) 564-7563
Mailing address
5433 DAVIS CUP CT, EL PASO, TX 79932-3051
(915) 564-7555
(915) 564-7563
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E7310
TX
Other
Enumeration date
09/01/2006
Last updated
07/16/2007
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