Jessica Wagner, PA-C

NPI #1649837246 in Arnold, Missouri

Provider Information

NPI Number: 1649837246
Entity Type: Individual
Name: Jessica Wagner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 20, 2019
Last Updated: Oct 30, 2020

Practice Location

Address: 1296 JEFFCO BLVD
City: Arnold
State: Missouri
ZIP Code: 63010-2138
Phone: (636) 321-8610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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