Wagner, Monica Elaine
Wagner, Monica Elaine is an individual health care provider with primary practice located at 3333 E Camelback Rd Suite 175, Phoenix AZ 85018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wagner, Monica Elaine can be contacted via phone (602) 840-3120.Contact Information
Primary practice address
3333 E Camelback Rd Suite 175
Phoenix AZ 85018
Phone: (602) 840-3120
Fax: (602) 840-3237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36955 | Arizona |
Profile Details
| NPI number | 1760535538 |
|---|---|
| LBN Legal business name | Wagner, Monica Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Apr 4th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760535538 | NPPES |
| Arizona | MEDICAID | 282693 |
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