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1447875042
SCOTT WAGNER INTEGRATED MEDICINE LLC
CHARLOTTESVILLE, VA
NPI
1447875042
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Entity Type
Organization
Authorized Contact
SCOTT BRIAN WAGNER
Authorized Official
434-978-4888
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2020-06-10
Last Update Date
2023-06-20
Business Address
SCOTT WAGNER INTEGRATED MEDICINE LLC
2109 INDIA RD
CHARLOTTESVILLE, VA 22901-2886
Phone number: 434-978-4888
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Mailing Address
SCOTT WAGNER INTEGRATED MEDICINE LLC
2109 INDIA RD
CHARLOTTESVILLE, VA 22901-2886
Phone number: 434-978-4888
Copy
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