PHILIP L WAGNER, MD, Gynecology CHEYENNE, WY

Contact Information

PHILIP L WAGNER, MD

2301 HOUSE AVE
SUITE 400
CHEYENNE, WY 82001-3176

Phone: 307-634-5216
Fax: 307-638-6675
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for PHILIP L WAGNER · (Male)

NPI #	`1740201276`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	07/21/2006
Last updated	07/21/2010 - About 16 years ago
Sole proprietor ¹	No
Identifiers	WY License # 5171A WY Medicaid 104211400
Hospital affiliation(s)	Not Available

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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PHILIP L WAGNER, MD – NPI #1740201276Gynecology

Contact Information

Specialty

Gynecology

NPI Profile & details for PHILIP L WAGNER · (Male)

Reviews for PHILIP L WAGNER

PHILIP L WAGNER, MD – NPI #1740201276
Gynecology