Individual provider · Type 1 NPI
Jeffrey Douglas Wagner, PA
Medical Physician Assistant · Sayville, NY
NPI number
1891744967
Active
Practice location
18 Ronald Ln
Sayville, NY 11782-1622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Sayville
About NPI 1891744967
Jeffrey Douglas Wagner, PA's National Provider Identifier is 1891744967, issued on May 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sayville, NY. The record was last updated on Jul 8, 2007.