MR. Paul Brooks Wagner, C.C.P.
NPI #1518063916 in Modesto, California
Provider Information
- NPI Number
- 1518063916
- Entity Type
- Individual
- Name
- MR. Paul Brooks Wagner, C.C.P.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist Cardiovascular - Vascular Specialist
- Credential
- C.C.P.
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1836 HARBOR CV
- City
- Modesto
- State
- California
- ZIP Code
- 95355-1856
- Phone
- (209) 484-8516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist Cardiovascular - Vascular Specialist — Vascular Specialist |
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