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Dr. Corey Allen Wagner, MD
Gynecology Physician in Saint Louis, Missouri
NPI 1144428038

Corey Allen Wagner is a Gynecology Physician based in Saint Louis, MO and is specialized in Gynecology. Corey Allen Wagner practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Corey Allen Wagner is 1144428038 and holds a License No. 259975-1 (Missouri).

The current practice location address for Corey Allen Wagner is 621 S New Ballas Rd, Saint Louis, MO and can be reached out via phone at 314-251-7650.

Location: 621 S New Ballas Rd, Saint Louis, MO, 63141-8232
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Provider Profile Details
NPI Number
1144428038
Provider Name
Corey Allen Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
621 S New Ballas Rd, Saint Louis, MO, 63141-8232
Phone Number
314-251-7650
Fax Number
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1144428038 05 MO
P01364351 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
621 S New Ballas Rd
City
State
Zip
63141-8232
Phone Number
314-251-7650
Fax Number
person
Provider Business Mailing Address Details
Address
621 S New Ballas Rd
City
State
Zip
63141-8232
Phone Number
314-251-7650
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
2010020901 (Missouri)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
259975-1 (New York)
Definition
Definition to come...
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