Individual
JULIA ALEXANDRA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(618) 580-6225
Mailing address
4562 OAKLAND AVE APT A, SAINT LOUIS, MO 63110-1523
(618) 580-6225
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A194383
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/23/2021
Last updated
04/06/2026
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