person
Mr. Willis H. Wagner, MD
Vascular Surgery Physician in Los Angeles, California
NPI 1003836248

Willis H. Wagner is a Vascular Surgery Physician based in Los Angeles, CA and is specialized in Vascular Surgery. Willis H. Wagner practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Willis H. Wagner is 1003836248 and holds a License No. G049464 (California).

The current practice location address for Willis H. Wagner is 8631 W 3Rd St, Los Angeles, CA and can be reached out via phone at 310-652-8132 and via fax at 310-659-3815.

Location: 8631 W 3Rd St, Los Angeles, CA, 90048-5901
person
Provider Profile Details
NPI Number
1003836248
Provider Name
Willis H. Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8631 W 3Rd St, Los Angeles, CA, 90048-5901
Phone Number
310-652-8132
Fax Number
310-659-3815
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8631 W 3Rd St
City
State
Zip
90048-5901
Phone Number
310-652-8132
Fax Number
310-659-3815
person
Provider Business Mailing Address Details
Address
8631 W 3Rd St
City
State
Zip
90048-5901
Phone Number
310-652-8132
Fax Number
310-659-3815
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
G049464 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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