Kendall Shannon Wagner, M.D.
NPI #1306888995 in Fullerton, California
Provider Information
- NPI Number
- 1306888995
- Entity Type
- Individual
- Name
- Kendall Shannon Wagner, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Jun 11, 2006
- Last Updated
- Aug 5, 2010
Practice Location
- Address
- 101 LAGUNA RD STE A
- City
- Fullerton
- State
- California
- ZIP Code
- 92835-3635
- Phone
- (714) 879-0050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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