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Robert Wagner, MD
Gynecologic Oncology Physician in Loma Linda, California
NPI 1356363550

Robert Wagner is a Gynecologic Oncology Physician based in Los Angeles, CA and is specialized in Gynecologic Oncology. Robert Wagner practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Robert Wagner is 1356363550 and holds a License No. G20612 (California).

The current practice location address for Robert Wagner is 11370 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-2806.

Location: 11370 Anderson St, Loma Linda, CA, 90074-4701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356363550
Provider Name
Robert Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11370 Anderson St, Loma Linda, CA, 90074-4701
Phone Number
909-558-2806
Fax Number
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G206120 05 CA
institution
Provider Business Practice Location Address Details
Address
11370 Anderson St
City
Loma Linda
State
California
Zip
92354-3450
Phone Number
909-558-2806
Fax Number
person
Provider Business Mailing Address Details
Address
11370 Anderson St
City
Loma Linda
State
California
Zip
92354-3450
Phone Number
909-558-2806
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
G20612 (California)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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