DAVID D WAGNER

SANTA CRUZ, CA
NPI1881038925
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  A142670)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: UT  9149605-1205)
Enumeration Date2013-04-19
Last Update Date2016-07-13
Business Address
-- DAVID D WAGNER M.D.
1555 SOQUEL DR
SANTA CRUZ, CA 95065-1705
Phone number: 831-462-7700
Mailing Address
-- DAVID D WAGNER M.D.
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-851-7441