ROY MARSHALL WAGNER

O FALLON, IL
NPI1477187383
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036164627)
Enumeration Date2020-02-29
Last Update Date2023-11-07
Business Address
Dr. ROY MARSHALL WAGNER DO
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
Phone number: 618-233-7880
Mailing Address
Dr. ROY MARSHALL WAGNER DO
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269-1284
Phone number: 618-256-9355
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