Individual provider · Type 1 NPI

Robert Wagner, MD

Gynecologic Oncology Physician · Loma Linda, CA

NPI number 1356363550 Active

Practice location

11370 Anderson St, Ste 3900
Loma Linda, CA 92354-3450

Mailing address

54701 File Number
Los Angeles, CA 90074-4701

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician Primary 207VX0201XG20612 (CA)

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1356363550

Robert Wagner, MD's National Provider Identifier is 1356363550, issued on Jul 24, 2006. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 8, 2007.