Individual provider · Type 1 NPI

Burton Wagner, DC

Chiropractor · San Clemente, CA

NPI number 1245659507 Active

Practice location

647 Camino De Los Mares Ste 220
San Clemente, CA 92673-2807

Mailing address

647 Camino De Los Mares, Suite 220
San Clemente, CA 92673-2825

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X27883 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1245659507

Burton Wagner, DC's National Provider Identifier is 1245659507, issued on Apr 15, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Clemente, CA. The record was last updated on Apr 20, 2015.