Individual provider · Type 1 NPI

Ward Wallace Wagner, DC

Chiropractor · St. George, UT

NPI number 1477604122 Active

Practice location

352 E Riverside Dr Ste A1
St. George, UT 84790-6834

Mailing address

1427 Majestic View Dr
Washington, UT 84780-2376

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X323936-1202 (UT)

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 1477604122

Ward Wallace Wagner, DC's National Provider Identifier is 1477604122, issued on Jan 16, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. George, UT. The record was last updated on Jul 8, 2007.