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1083655179
SCOTT DAVID WAGNER
RALEIGH, NC
NPI
1083655179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 200300537)
Enumeration Date
2006-06-09
Last Update Date
2010-08-30
Business Address
-- SCOTT DAVID WAGNER M.D.
3320 EXECUTIVE DR SUITE 214
RALEIGH, NC 27609-7445
Phone number: 919-878-8596
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Mailing Address
-- SCOTT DAVID WAGNER M.D.
3320 EXECUTIVE DR SUITE 214
RALEIGH, NC 27609-7445
Phone number: 919-878-8596
Copy
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