Wagner, Ray
Wagner, Ray is an individual health care provider with primary practice located at 839 W Congress St , Tucson AZ 85745-2819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wagner, Ray can be contacted via phone (520) 792-9890.Contact Information
Primary practice address
839 W Congress St
Tucson AZ 85745-2819
Phone: (520) 792-9890
Fax: (520) 670-3714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15478 | Arizona |
Profile Details
| NPI number | 1922074905 |
|---|---|
| LBN Legal business name | Wagner, Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Aug 30th, 2010 - about 16 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 | 1922074905 | NPPES |
| Arizona | MEDICAID | 256017 |
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