WILLIAM FREDERICK WAGNER

ALBUQUERQUE, NM
NPI1871528455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: NM  2002-0462)
Additional Taxonomies207L00000X Anesthesiology
(Licence: CA  51715)
207L00000X Anesthesiology
(Licence: CO  40658)
207L00000X Anesthesiology
(Licence: TX  G0247)
207LP2900X Anesthesiology, Pain Medicine
(Licence: NC  2003-00422)
207LP2900X Anesthesiology, Pain Medicine
(Licence: SC  MD36735)
Enumeration Date2006-07-11
Last Update Date2022-05-31
Business Address
Dr. WILLIAM FREDERICK WAGNER MD
8300 CONSTITUTION AVE NE SUITE 1106
ALBUQUERQUE, NM 87110-7624
Phone number: 505-291-2770
Mailing Address
Dr. WILLIAM FREDERICK WAGNER MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770