National Provider Identifier Database

PHILIP L WAGNER, MD – NPI #1740201276
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

PHILIP L WAGNER, MD
2301 HOUSE AVE
SUITE 400
CHEYENNE, WY82001-3176
Phone: 307-634-5216
Fax: 307-638-6675
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for PHILIP L WAGNER

NPI Number 1740201276
Credentials MD
Entity Individual
Enumeration date 07/21/2006
Last updated 07/21/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • WY License #: 5171A
  • WY Medicaid: 104211400
Hospital affiliation n/a

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.

Reviews for PHILIP L WAGNER, MD

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