MR. WILLIS WAGNER, M.D.
Surgery - Vascular Surgery
Active
Individual
NPI: 1003836248
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery - Vascular Surgery | 2086S0129X | Yes | G049464 (CA) |
Frequently Asked Questions
NPI 1003836248 is the National Provider Identifier for MR. WILLIS WAGNER, M.D., a Surgery - Vascular Surgery provider located in Los Angeles, CA. This NPI was enumerated on July 20, 2006.
MR. WILLIS WAGNER, M.D. practices at 8631 W 3RD ST, SUITE 615E, Los Angeles, CA 90048.
Quick Facts
- NPI
- 1003836248
- Type
- Individual
- Enumerated
- Jul 20, 2006
- Last Updated
- Oct 8, 2007
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