Brent J. Wagner, M.D.
NPI #1194720748 in West Reading, Pennsylvania
Provider Information
- NPI Number
- 1194720748
- Entity Type
- Individual
- Name
- Brent J. Wagner, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Jun 19, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 301 S 7TH AVE
- Address 2
- STE 135
- City
- West Reading
- State
- Pennsylvania
- ZIP Code
- 19611-1442
- Phone
- (610) 988-8919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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