Wagner & Wagner Psc

NPI #1124180351 in Glasgow, Kentucky

Provider Information

NPI Number: 1124180351
Entity Type: Organization
Organization Name: Wagner & Wagner Psc
Primary Specialty: Optometrist
Enumeration Date: Dec 14, 2006
Last Updated: Aug 25, 2010

Practice Location

Address: 115 COLUMBIA AVE
City: Glasgow
State: Kentucky
ZIP Code: 42141-2903
Phone: (270) 651-8323

Authorized Official

Name: DR. RONALD T. WAGNER, O. D.
Title: PRESIDENT
Phone: (270) 651-8323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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