DR. Philip Jon Wagner, DC

NPI #1043296171 in Beaufort, South Carolina

Provider Information

NPI Number: 1043296171
Entity Type: Individual
Name: DR. Philip Jon Wagner, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor - Internist
Credential: DC
Enumeration Date: Dec 20, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1 PINCKNEY BLVD
Address 2: NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS
City: Beaufort
State: South Carolina
ZIP Code: 29902-6122
Phone: (843) 228-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Internist — Internist	111NI0900X	Primary

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