Paul Wagner Od Plc

NPI #1912218405 in Chandler, Arizona

Provider Information

NPI Number: 1912218405
Entity Type: Organization
Organization Name: Paul Wagner Od Plc
Primary Specialty: Optometrist
Enumeration Date: Jun 29, 2010
Last Updated: Aug 25, 2010

Practice Location

Address: 2955 W ELLIOT RD
Address 2: STE.1
City: Chandler
State: Arizona
ZIP Code: 85224-1620
Phone: (480) 838-4044

Authorized Official

Name: DR. PAUL A WAGNER, OD
Title: OPTOMETRIST
Phone: (480) 838-4044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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