Carl Wagner D.O.M.

NPI 1083780357 - Acupuncturist - 171100000X

NPI Details
NPI 1083780357
Gender Male
Enumeration Date 11/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1332 GUSDORF RD
STE. E
TAOS NM, 87571-6371, US
Phone (505) 758-2700
Fax (505) 758-2700
Business Location
PO BOX 28
CHAMISAL NM, 87521-0028, US
Phone (505) 587-2685
Fax
Toxanomy
Taxonomy Code 171100000X
License State New Mexico
License Number 341
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According to our database, Carl Wagner D.O.M. NPI is 1083780357, taxonomy code is 171100000X and license number is 341, license state is located at New Mexico. Carl Wagner D.O.M. physically located at 1332 Gusdorf Rd, Taos NM, 87571-6371. NPI Number Carl Wagner D.O.M. has the Individual type.

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1083780357 NPI number is provided on an as is basis without warranty of any kind. 1083780357 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Wagner D.O.M. are for informational purposes only.