Amber Wagg

NPI #1861801607 in Potsdam, New York

Provider Information

NPI Number: 1861801607
Entity Type: Individual
Name: Amber Wagg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 6, 2014
Last Updated: Aug 6, 2014

Practice Location

Address: 50 LEROY ST
Address 2: CHEMICAL DEPENDENCY UNIT
City: Potsdam
State: New York
ZIP Code: 13676-1786
Phone: (315) 244-4017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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