Individual provider · Type 1 NPI

Richard A. Wagner, PA-C

Medical Physician Assistant · Coatesville, PA

NPI number 1497864540 Active

Practice location

1400 Blackhorse Hill Rd
Coatesville, PA 19320-2040

Call (610) 384-7711 Map

Mailing address

45 Lisa Ln
Conshohocken, PA 19428-2137

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA001279L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1497864540

Richard A. Wagner, PA-C's National Provider Identifier is 1497864540, issued on Aug 30, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Coatesville, PA. The record was last updated on Jul 8, 2007.