Wagner, Brent
Wagner, Brent is an individual health care provider with primary practice located at 72605 Highway 111 , Palm Desert CA 92260-3392. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wagner, Brent can be contacted via phone (760) 404-0135.Contact Information
Primary practice address
72605 Highway 111
Palm Desert CA 92260-3392
Phone: (760) 404-0135
Fax: (760) 537-2948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 143208 | California |
Profile Details
| NPI number | 1366885501 |
|---|---|
| LBN Legal business name | Wagner, Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2013 |
| Last updated | Apr 16th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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