Organization
PAUL WAGNER OD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A WAGNER OD (OPTOMETRIST)
(480) 838-4044
Entity
Organization
Contact information
Practice address
2955 W ELLIOT RD, STE.1, CHANDLER, AZ 85224-1620
(480) 838-4044
(480) 838-4072
Mailing address
2955 W ELLIOT RD, STE.1, CHANDLER, AZ 85224-1620
(480) 838-4044
(480) 838-4072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
587
AZ
Other
Enumeration date
06/29/2010
Last updated
08/25/2010
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