MRS. Deborah E Wagner, PA-C

NPI #1154371664 in Chesterfield, Missouri

Provider Information

NPI Number: 1154371664
Entity Type: Individual
Name: MRS. Deborah E Wagner, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 12, 2006
Last Updated: Aug 31, 2010

Practice Location

Address: 1001 CHESTERFIELD PKWY E
Address 2: SUITE 101
City: Chesterfield
State: Missouri
ZIP Code: 63017-2041
Phone: (314) 878-3839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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