Individual provider · Type 1 NPI
Philip L. Wagner, MD
Gynecology Physician · Cheyenne, WY
NPI number
1740201276
Active
Practice location
2301 House Ave, Suite 400
Cheyenne, WY 82001-3176
Fax (307) 638-6675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | 5171A (WY) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
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About NPI 1740201276
Philip L. Wagner, MD's National Provider Identifier is 1740201276, issued on Jul 21, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Cheyenne, WY. The record was last updated on Jul 21, 2010.