Individual provider · Type 1 NPI

Willis H. Wagner, MD

Vascular Surgery Physician · Los Angeles, CA

NPI number 1003836248 Active

Practice location

8631 W 3rd St, Suite 615E
Los Angeles, CA 90048-5901

Call (310) 652-8132 Map

Fax (310) 659-3815

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XG049464 (CA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1003836248

Willis H. Wagner, MD's National Provider Identifier is 1003836248, issued on Jul 20, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 8, 2007.