MARK WAGNER, MD
General Practice
Active
Individual
NPI: 1700821709
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | G42267 (CA) |
| Pain Medicine - Pain Medicine | 208VP0000X | No | G42267 (CA) |
| Psychiatry & Neurology - Addiction Medicine | 2084A0401X | No | G42267 (CA) |
Frequently Asked Questions
NPI 1700821709 is the National Provider Identifier for MARK WAGNER, MD, a General Practice provider located in Santa Ana, CA. This NPI was enumerated on June 17, 2006.
MARK WAGNER, MD practices at 515 CABRILLO PARK DR, SUITE 120, Santa Ana, CA 92701.
Quick Facts
- NPI
- 1700821709
- Type
- Individual
- Enumerated
- Jun 17, 2006
- Last Updated
- Sep 1, 2015
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