Individual provider · Type 1 NPI
Samuel Wagg, DC
Chiropractor · San Diego, CA
NPI number
1699197517
Active
Practice location
1010 University Ave Ste C203
San Diego, CA 92103-3361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 32766 (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 1699197517
Samuel Wagg, DC's National Provider Identifier is 1699197517, issued on Jan 11, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Diego, CA. The record was last updated on Jan 11, 2014.