KRISTOPHER M.G. WAGNER-PORTER

WHITEMAN AFB, MO
NPI1922259134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: IN  01065866A)
Enumeration Date2008-10-07
Last Update Date2008-10-07
Business Address
Dr. KRISTOPHER M.G. WAGNER-PORTER M.D.
331 SIJAN AVE
WHITEMAN AFB, MO 65305-1269
Phone number: 666-687-2252
Mailing Address
Dr. KRISTOPHER M.G. WAGNER-PORTER M.D.
331 SIJAN AVE
WHITEMAN AFB, MO 65305-1269
Phone number: 666-687-2252