Wagner Chiropractic PA

NPI #1346420114 in Eustis, Florida

Provider Information

NPI Number: 1346420114
Entity Type: Organization
Organization Name: Wagner Chiropractic PA
Primary Specialty: Chiropractor
Enumeration Date: Nov 9, 2007
Last Updated: Nov 9, 2007

Practice Location

Address: 2755 S BAY ST
Address 2: SUITE D
City: Eustis
State: Florida
ZIP Code: 32726-6587
Phone: (352) 589-5443

Authorized Official

Name: DR. RAMAH J WAGNER, D.C.
Title: PHYSICIAN
Phone: (352) 589-5543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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