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1265449193
DAVID G. WAGNER
TIGARD, OR
NPI
1265449193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD07158)
Enumeration Date
2006-08-02
Last Update Date
2010-12-08
Business Address
-- DAVID G. WAGNER MD
9250 SW HALL BLVD
TIGARD, OR 97223-6857
Phone number: 503-293-0161
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Mailing Address
-- DAVID G. WAGNER MD
9250 SW HALL BLVD
TIGARD, OR 97223-6857
Phone number: 503-293-0161
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