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Contact Information

JEFFREY C WAGNER, MD
499 E HAMPDEN AVE
SUITE 360
ENGLEWOOD, CO80113-2780
 Phone: 303-781-4485
 Fax: 303-788-7666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for JEFFREY C WAGNER · (Male)

NPI Number 1033321914
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2007
Last updated 10/23/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • CO License # 48115
  • NE License # 26744
  • UT License # 6312366-1205
  • WI License # 64995
  • CO Other COA105215 MEMORIAL HOSPITAL UPIN
Hospital affiliation(s)
  • BOULDER COMMUNITY HOSPITAL - (Acute Care)
    4747 ARAPAHOE AVENUE
    BOULDER, CO 80304
  • EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC - (Acute Care)
    200 EXEMPLA CIRCLE
    LAFAYETTE, CO 80026
  • METHODIST STONE OAK HOSPITAL - (Acute Care)
    1139 E SONTERRA BLVD
    SAN ANTONIO, TX 78258
  • SWEDISH MEDICAL CENTER - (Acute Care)
    501 E HAMPDEN AVENUE
    ENGLEWOOD, CO 80113
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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