person
Dr. Philip L Wagner, MD
Gynecology Physician in Cheyenne, Wyoming
NPI 1740201276

Philip L Wagner is a Gynecology Physician based in Cheyenne, WY and is specialized in Gynecology. Philip L Wagner practices in Cheyenne, WY and has the professional credentials of MD. The NPI Number for Philip L Wagner is 1740201276 and holds a License No. 5171A (Wyoming).

The current practice location address for Philip L Wagner is 2301 House Ave, Cheyenne, WY and can be reached out via phone at 307-634-5216 and via fax at 307-638-6675.

Location: 2301 House Ave, Cheyenne, WY, 82001-3176
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Provider Profile Details
NPI Number
1740201276
Provider Name
Philip L Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2301 House Ave, Cheyenne, WY, 82001-3176
Phone Number
307-634-5216
Fax Number
307-638-6675
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104211400 05 WY
institution
Provider Business Practice Location Address Details
Address
2301 House Ave
City
State
Zip
82001-3176
Phone Number
307-634-5216
Fax Number
307-638-6675
person
Provider Business Mailing Address Details
Address
2301 House Ave
City
State
Zip
82001-3176
Phone Number
307-634-5216
Fax Number
307-638-6675
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
5171A (Wyoming)
Definition
Definition to come...
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