DR. Ronald W Wagner, ATC
NPI #1366528721 in California, Pennsylvania
Provider Information
- NPI Number
- 1366528721
- Entity Type
- Individual
- Name
- DR. Ronald W Wagner, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Oct 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 250 UNIVERSITY AVE
- City
- California
- State
- Pennsylvania
- ZIP Code
- 15419-1341
- Phone
- (724) 938-4562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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