GARY L. WAGNER

SPOKANE VALLEY, WA
NPI1699842229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: WA  RN00094715)
Enumeration Date2006-11-29
Last Update Date2024-02-13
Business Address
Mr. GARY L. WAGNER CRNA
16010 E INDIANA AVE
SPOKANE VALLEY, WA 99216-1813
Phone number: 509-928-8040
Mailing Address
Mr. GARY L. WAGNER CRNA
7058 N MADELLAINE DR
COEUR D ALENE, ID 83815-7108
Phone number: 253-334-3886