DR. Roy Marshall Wagner, DO

NPI #1477187383 in O Fallon, Illinois

Provider Information

NPI Number
1477187383
Entity Type
Individual
Name
DR. Roy Marshall Wagner, DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
DO
Enumeration Date
Feb 29, 2020
Last Updated
Nov 7, 2023

Practice Location

Address
3 SAINT ELIZABETH BLVD STE 4000
ZIP Code
62269
Phone
(618) 233-7880

Specialties & Taxonomy Codes

Specialty
Family Medicine

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