Richard W. Wagner, OD

NPI #1689626582 in Chiefland, Florida

Provider Information

NPI Number: 1689626582
Entity Type: Individual
Name: Richard W. Wagner, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 17, 2006
Last Updated: Sep 11, 2018

Practice Location

Address: 218 N MAIN ST (US 19)
City: Chiefland
State: Florida
ZIP Code: 32626
Phone: (352) 493-4448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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