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Marina Alyssa Wagner, DO
Student in an Organized Health Care Education/Training Program in Colorado Springs, Colorado
NPI 1073190773

Marina Alyssa Wagner is a Student in an Organized Health Care Education/Training Program based in Colorado Springs, CO. Marina Alyssa Wagner practices in Colorado Springs, CO and has the professional credentials of DO. The NPI Number for Marina Alyssa Wagner is 1073190773 and holds a License No. (Colorado).

The current practice location address for Marina Alyssa Wagner is 340 Printers Pkwy, Colorado Springs, CO and can be reached out via phone at 719-632-5700. You can also correspond with Marina Alyssa Wagner through the mailing address at 3205 N ACADEMY BLVD, COLORADO SPRINGS, CO - 80917-5147 (mailing address contact number: 719-632-5700).

Location: 340 Printers Pkwy, Colorado Springs, CO, 80917-5147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073190773
Provider Name
Marina Alyssa Wagner
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
340 Printers Pkwy, Colorado Springs, CO, 80917-5147
Phone Number
719-632-5700
Fax Number
Provider Enumeration Date
03/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 Printers Pkwy
City
Colorado Springs
State
Colorado
Zip
80910-3190
Phone Number
719-632-5700
Fax Number
person
Provider Business Mailing Address Details
Address
340 Printers Pkwy
City
Colorado Springs
State
Colorado
Zip
80910-3190
Phone Number
719-632-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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