Individual provider · Type 1 NPI
Richard Wagner, MD
Specialist · Coupeville, WA
NPI number
1962621631
Active
Practice location
1789 Rebecca Lane
Coupeville, WA 98239-0339
Mailing address
1789 Rebecca Drive
Coupeville, WA 98239-0339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 33700 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Coupeville
About NPI 1962621631
Richard Wagner, MD's National Provider Identifier is 1962621631, issued on Apr 24, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coupeville, WA. The record was last updated on Jul 8, 2007.