DAVID KENT WAGNER

MARTINSBURG, WV
NPI1295897437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
Mr. DAVID KENT WAGNER CSA, OPA
1008 TAVERN ROAD STE 102
MARTINSBURG, WV 25401-2864
Phone number: 304-263-5129
Mailing Address
Mr. DAVID KENT WAGNER CSA, OPA
1008 TAVERN ROAD STE 102
MARTINSBURG, WV 25401-2864
Phone number: 304-263-5129
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