Tom L Wagner

NPI 1043233919 - Psychologist - 103T00000X

NPI Details
NPI 1043233919
Gender Male
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
509 MAIN ST
DR TOM L WAGNER
MURRAY KY, 42071, US
Phone (270) 759-1210
Fax (270) 753-6210
Business Location
BOX 2784 MSU
MURRAY KY, 42071, US
Phone (270) 759-1210
Fax (270) 753-6210
Toxanomy
Taxonomy Code 103T00000X
License State Kentucky
License Number KY319
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According to our database, Dr. Tom L Wagner NPI is 1043233919, taxonomy code is 103T00000X and license number is KY319, license state is located at Kentucky. Tom L Wagner physically located at 509 Main St, Murray KY, 42071. NPI Number Tom L Wagner has the Individual type.

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1043233919 NPI number is provided on an as is basis without warranty of any kind. 1043233919 is maintained by the National Plan & Provider Enumeration System. The contents of Tom L Wagner are for informational purposes only.