DR. Drue O. Wagner, M.D.

NPI #1891918629 in Moscow, Idaho

Provider Information

NPI Number: 1891918629
Entity Type: Individual
Name: DR. Drue O. Wagner, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 10, 2007
Last Updated: Feb 4, 2019

Practice Location

Address: 619 S WASHINGTON ST
Address 2: SUITE 203
City: Moscow
State: Idaho
ZIP Code: 83843-3090
Phone: (208) 892-1346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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