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Robert Clark Wagner, MD
Specialist in Arlington, Virginia
NPI 1972568293

Robert Clark Wagner is a Specialist based in Arlington, VA. Robert Clark Wagner practices in Arlington, VA and has the professional credentials of MD. The NPI Number for Robert Clark Wagner is 1972568293 and holds a License No. 0101030296 (Virginia).

The current practice location address for Robert Clark Wagner is 1635 N George Mason Dr, Arlington, VA and can be reached out via phone at 703-243-7677 and via fax at 703-243-5416.

Location: 1635 N George Mason Dr, Arlington, VA, 22205-3601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972568293
Provider Name
Robert Clark Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1635 N George Mason Dr, Arlington, VA, 22205-3601
Phone Number
703-243-7677
Fax Number
703-243-5416
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7393202 05 VA
institution
Provider Business Practice Location Address Details
Address
1635 N George Mason Dr
City
Arlington
State
Virginia
Zip
22205-3601
Phone Number
703-243-7677
Fax Number
703-243-5416
person
Provider Business Mailing Address Details
Address
1635 N George Mason Dr
City
Arlington
State
Virginia
Zip
22205-3601
Phone Number
703-243-7677
Fax Number
703-243-5416
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101030296 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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