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1659341865
PETER C WAGNER
SACATON, AZ
NPI
1659341865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 2036)
Enumeration Date
2006-01-23
Last Update Date
2012-03-02
Business Address
Dr. PETER C WAGNER D.O.
483 W. SEED FARM RD.
SACATON, AZ 85147-0038
Phone number: 602-528-1200
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Mailing Address
Dr. PETER C WAGNER D.O.
PO BOX 38
SACATON, AZ 85147-0038
Phone number: 602-528-1200
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