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Mark Elliot Wagner, DO
Family Medicine Physician in Reading, Pennsylvania
NPI 1033202502

Mark Elliot Wagner is a Family Medicine Physician based in Reading, PA. Mark Elliot Wagner practices in Reading, PA and has the professional credentials of DO. The NPI Number for Mark Elliot Wagner is 1033202502 and holds a License No. OS005358-L (Pennsylvania).

The current practice location address for Mark Elliot Wagner is 623 North 5Th Street, Reading, PA and can be reached out via phone at 610-374-8585 and via fax at 610-374-2574.

Location: 623 North 5Th Street, Reading, PA, 19601-2201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033202502
Provider Name
Mark Elliot Wagner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
623 North 5Th Street, Reading, PA, 19601-2201
Phone Number
610-374-8585
Fax Number
610-374-2574
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0966530 05 PA
institution
Provider Business Practice Location Address Details
Address
623 North 5Th Street
City
Reading
State
Pennsylvania
Zip
19601
Phone Number
610-374-8585
Fax Number
610-374-2574
person
Provider Business Mailing Address Details
Address
623 North 5Th Street
City
Reading
State
Pennsylvania
Zip
19601
Phone Number
610-374-8585
Fax Number
610-374-2574
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OS005358-L (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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