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1720094055
ROBERT LEE WAGNER
LA JOLLA, CA
NPI
1720094055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
(Licence: CA G41244)
Enumeration Date
2006-07-31
Last Update Date
2020-01-07
Business Address
ROBERT LEE WAGNER M.D.
9850 GENESEE AVE STE 820
LA JOLLA, CA 92037-1219
Phone number: 858-454-5442
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Mailing Address
ROBERT LEE WAGNER M.D.
FILE # 54433
LOS ANGELES, CA 90074-0001
Phone number:
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