KRISTOFER ROSS WAGNER

TEMPLE, TX
NPI1174562714
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: TX  L5174)
Additional Taxonomies208800000X Urology
(Licence: DC  MD036057)
Enumeration Date2006-06-06
Last Update Date2022-01-26
Business Address
Dr. KRISTOFER ROSS WAGNER MD
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
Mailing Address
Dr. KRISTOFER ROSS WAGNER MD
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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