Individual provider · Type 1 NPI
Robert Eugene Wagner, DC
Chiropractor · Puyallup, WA
NPI number
1932253036
Active
Practice location
10324 Canyon Rd East, #105
Puyallup, WA 98373
Fax (253) 539-1471
Mailing address
10324 Canyon Road East, #105
Puyallup, WA 98373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | CH00003390 (WA) |
| Chiropractor Primary | 111N00000X | CH3390 (WA) |
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 1932253036
Robert Eugene Wagner, DC's National Provider Identifier is 1932253036, issued on Jan 23, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Puyallup, WA. The record was last updated on Dec 31, 2008.