PRIMITIVA L WAGAN

ST. LOUIS, MO
NPI1295808806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  33940)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Dr. PRIMITIVA L WAGAN M.D.
884 WOODS MILL RD., SUITE 101 TTG LOCUM TENENS, INC
ST. LOUIS, MO 63011-3657
Phone number: 636-891-9794
Mailing Address
Dr. PRIMITIVA L WAGAN M.D.
808 WENNEKER DR
SAINT LOUIS, MO 63124-2042
Phone number: 314-863-8809
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