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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 27883 (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.