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1760411417
THOMAS W WAGNER
VIRGINIA BEACH, VA
NPI
1760411417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: VA 0101046494)
Enumeration Date
2006-07-02
Last Update Date
2010-10-15
Business Address
-- THOMAS W WAGNER MD
4092 FOXWOOD DR
VIRGINIA BEACH, VA 23462-5225
Phone number: 757-467-4200
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Mailing Address
-- THOMAS W WAGNER MD
PO BOX 7549
PORTSMOUTH, VA 23707-0549
Phone number: 757-686-3508
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