Organization
WAGNER CHIROPRACTIC & REHABILITATION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARD W WAGNER D.C. (CHIROPRACTIC)
(435) 673-1443
Entity
Organization
Contact information
Practice address
10 N 400 E, ST GEORGE, UT 84770-2919
(435) 673-1443
(435) 673-3868
Mailing address
10 N 400 E, ST GEORGE, UT 84770-2919
(435) 673-1443
(435) 673-3868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
323936-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5300297360
—
UT
Enumeration date
07/27/2009
Last updated
07/06/2022
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