Robert Clark Wagner, M.D.

NPI #1972568293 in Arlington, Virginia

Provider Information

NPI Number
1972568293
Entity Type
Individual
Name
Robert Clark Wagner, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Apr 19, 2006
Last Updated
Oct 27, 2011

Practice Location

Address
1635 N GEORGE MASON DR
Address 2
SUITE 140
ZIP Code
22205-3601
Phone
(703) 243-7677

Specialties & Taxonomy Codes

Specialty
Specialist

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