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1689641961
JASON CASS WAGNER
SAINT LOUIS, MO
NPI
1689641961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 2004011875)
Enumeration Date
2006-03-05
Last Update Date
2024-04-25
Business Address
Dr. JASON CASS WAGNER MD
400 S KINGSHIGHWAY BLVD DEPT EMERGENCY MED
SAINT LOUIS, MO 63110-1014
Phone number: 314-362-9123
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Mailing Address
Dr. JASON CASS WAGNER MD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-9123
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