Ryan Wagner, PHYSICIAN ASSISTANT
NPI #1871210021 in Weimar, California
Provider Information
- NPI Number
- 1871210021
- Entity Type
- Individual
- Name
- Ryan Wagner, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Oct 27, 2022
- Last Updated
- Oct 27, 2022
Practice Location
- Address
- 20601 W PAOLI LN
- City
- Weimar
- State
- California
- ZIP Code
- 95736
- Phone
- (530) 637-4025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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