Individual provider · Type 1 NPI

Brent J. Wagner, MD

Specialist · West Reading, PA

NPI number 1194720748 Active

Practice location

301 S 7th Ave, Ste 135
West Reading, PA 19611-1442

Call (610) 988-8919 Map

Fax (610) 988-8400

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD-038170-E (PA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1194720748

Brent J. Wagner, MD's National Provider Identifier is 1194720748, issued on Jun 19, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Reading, PA. The record was last updated on Jul 8, 2007.