Carson Lee Wagner
NPI #1063060796 in Oviedo, Florida
Provider Information
- NPI Number
- 1063060796
- Entity Type
- Individual
- Name
- Carson Lee Wagner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 27, 2019
- Last Updated
- Oct 20, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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