JESSIKA WAGNER

OGDEN, UT
NPI1922259449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  7719143-1205)
Enumeration Date2008-10-02
Last Update Date2010-11-16
Business Address
Dr. JESSIKA WAGNER MD
4403 HARRISON BLVD SUITE 4875
OGDEN, UT 84403-3271
Phone number: 801-387-4500
Mailing Address
Dr. JESSIKA WAGNER MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-4500
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