ROBERT WAGNER

WASHINGTON, DC
NPI1265071419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: DC  PA200001305)
Enumeration Date2020-01-04
Last Update Date2022-04-27
Business Address
ROBERT WAGNER
3800 RESERVOIR RD NW # 2PHC
WASHINGTON, DC 20007-2113
Phone number: 954-262-1250
Mailing Address
ROBERT WAGNER
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number: 954-262-1250
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