Jeffrey Wagner

NPI #1003312117 in Meridian, Idaho

Provider Information

NPI Number
1003312117
Entity Type
Individual
Name
Jeffrey Wagner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Clinical Exercise Physiologist
Enumeration Date
Apr 5, 2018
Last Updated
Apr 5, 2018

Practice Location

Address
3525 E LOUISE DR
State
Idaho
ZIP Code
83642-6302
Phone
(208) 706-7050

Specialties & Taxonomy Codes

Specialty
Clinical Exercise Physiologist

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