BRENT WAGNER

PALM DESERT, CA
NPI1366885501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  143208)
Enumeration Date2013-04-08
Last Update Date2020-04-16
Business Address
BRENT WAGNER M.D.
72605 HIGHWAY 111
PALM DESERT, CA 92260-3392
Phone number: 760-404-0135
Mailing Address
BRENT WAGNER M.D.
72605 HIGHWAY 111
PALM DESERT, CA 92260-3392
Phone number: 760-404-0135
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