TRAVIS RAY WAGNER

APO, AE
NPI1932635653
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401415734)
Enumeration Date2017-05-02
Last Update Date2020-10-07
Business Address
Dr. TRAVIS RAY WAGNER CAPT
86TH MEDICAL GROUP UNIT 3215
APO, AE 09094-3215
Phone number: 804-337-9700
Mailing Address
Dr. TRAVIS RAY WAGNER CAPT
86TH MEDICAL GROUP UNIT 3215
APO, AE 09094-3215
Phone number: 804-337-9700