WILLIS H. WAGNER

LOS ANGELES, CA
NPI1003836248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: CA  G049464)
Enumeration Date2006-07-20
Last Update Date2007-10-08
Business Address
Mr. WILLIS H. WAGNER M.D.
8631 W 3RD ST SUITE 615E
LOS ANGELES, CA 90048-5901
Phone number: 310-652-8132
Mailing Address
Mr. WILLIS H. WAGNER M.D.
8631 W 3RD ST SUITE 615E
LOS ANGELES, CA 90048-5901
Phone number: 310-652-8132
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