Paul D Wagner M.D., F.A.C.P.

NPI 1023093663 - Internal Medicine - 207R00000X

NPI Details
NPI 1023093663
Gender Male
Enumeration Date 12/07/2005
Last Updated 06/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4060 4TH AVE
SUITE 100
SAN DIEGO CA, 92103-2116, US
Phone (619) 718-9444
Fax
Business Location
4060 4TH AVE
SUITE 100
SAN DIEGO CA, 92103-2116, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G77188
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According to our database, Paul D Wagner M.D., F.A.C.P. NPI is 1023093663, taxonomy code is 207R00000X and license number is G77188, license state is located at California. Paul D Wagner M.D., F.A.C.P. physically located at 4060 4th Ave, San Diego CA, 92103-2116. NPI Number Paul D Wagner M.D., F.A.C.P. has the Individual type.

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1023093663 NPI number is provided on an as is basis without warranty of any kind. 1023093663 is maintained by the National Plan & Provider Enumeration System. The contents of Paul D Wagner M.D., F.A.C.P. are for informational purposes only.