Individual provider · Type 1 NPI

Sophia Wagner Burge, PA-C

Surgical Physician Assistant · Greeley, CO

NPI number 1972026276 Active

About NPI 1972026276

Sophia Wagner Burge, PA-C's National Provider Identifier is 1972026276, issued on Jul 19, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Greeley, CO. The record was last updated on Aug 23, 2021.