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Robert Wagner, MD
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Idaho Falls, Idaho
NPI 1578543989

Robert Wagner is a Undersea and Hyperbaric Medicine (Emergency Medicine) Physician based in Idaho Falls, ID and is specialized in Undersea and Hyperbaric Medicine. Robert Wagner practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Robert Wagner is 1578543989 and holds a License No. M5280 (Idaho).

The current practice location address for Robert Wagner is 3100 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-535-4130 and via fax at 208-535-4125. You can also correspond with Robert Wagner through the mailing address at PO BOX 1647, IDAHO FALLS, ID - 83403-1647 (mailing address contact number: 208-535-4130).

Location: 3100 Channing Way, Idaho Falls, ID, 83403-1647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578543989
Provider Name
Robert Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3100 Channing Way, Idaho Falls, ID, 83403-1647
Phone Number
208-535-4130
Fax Number
208-535-4125
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
57968 01 ID BLUE CROSS
4012400 05 ID
institution
Provider Business Practice Location Address Details
Address
3100 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7533
Phone Number
208-535-4130
Fax Number
208-535-4125
person
Provider Business Mailing Address Details
Address
Po Box 1647
City
Idaho Falls
State
Idaho
Zip
83403-1647
Phone Number
208-535-4130
Fax Number
208-535-4125
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
M5280 (Idaho)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Undersea and Hyperbaric Medicine
Taxonomy
207PE0005X
License No.
M5280 (Idaho)
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
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