Individual provider · Type 1 NPI

Robert Stanley Wagner

Physician Assistant · Washington, DC

NPI number 1265071419 Active

Practice location

3800 Reservoir Rd NW # 2PHC
Washington, DC 20007-2113

Mailing address

3200 S University Dr
Davie, FL 33328-2018

Other practice locations

  • 630 W 168th St, New York, NY 10032-3725 · (202) 305-2500

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X035762 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1265071419

Robert Stanley Wagner's National Provider Identifier is 1265071419, issued on Jan 4, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Washington, DC. The record was last updated on Jun 1, 2026.