MARK WAGONER

PHOENIX, AZ
NPI1669177341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-03
Last Update Date2023-04-18
Business Address
Dr. MARK WAGONER MD
350 W THOMAS RD
PHOENIX, AZ 85013-4496
Phone number: 602-406-3000
Mailing Address
Dr. MARK WAGONER MD
3100 N CENTRAL AVE # 711D
PHOENIX, AZ 85012-2637
Phone number: