David G. Wagner, MD

NPI #1265449193 in Tigard, Oregon

Provider Information

NPI Number: 1265449193
Entity Type: Individual
Name: David G. Wagner, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 2, 2006
Last Updated: Dec 8, 2010

Practice Location

Address: 9250 SW HALL BLVD
City: Tigard
State: Oregon
ZIP Code: 97223-6857
Phone: (503) 293-0161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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