person
Christopher William Wagner, MD
General Practice Physician in Tacoma, Washington
NPI 1427704394

Christopher William Wagner is a General Practice Physician based in Tacoma, WA. Christopher William Wagner practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Christopher William Wagner is 1427704394 and holds a License No. (Washington).

The current practice location address for Christopher William Wagner is 9040 Jackson Avenue, Tacoma, WA and can be reached out via phone at 253-968-1250. You can also correspond with Christopher William Wagner through the mailing address at 9040 JACKSON AVENUE, TACOMA, WA - 98431-0001 (mailing address contact number: 253-968-1250).

Location: 9040 Jackson Avenue, Tacoma, WA, 98431-0001
person
Provider Profile Details
NPI Number
1427704394
Provider Name
Christopher William Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Avenue, Tacoma, WA, 98431-0001
Phone Number
253-968-1250
Fax Number
Provider Enumeration Date
03/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Avenue
City
State
Zip
98431-0001
Phone Number
253-968-1250
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Avenue
City
State
Zip
98431-0001
Phone Number
253-968-1250
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
0101280169 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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