Charles Allen Wagner JR., DO

NPI #1316904345 in Orwigsburg, Pennsylvania

Provider Information

NPI Number: 1316904345
Entity Type: Individual
Name: Charles Allen Wagner JR., DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Apr 26, 2006
Last Updated: Oct 14, 2020

Practice Location

Address: 300 HOLLYWOOD BLVD
City: Orwigsburg
State: Pennsylvania
ZIP Code: 17961-2426
Phone: (570) 366-1557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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