-- GARY WAGNER -- M.D.
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1235160102- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 600 COFFEE RD, MODESTO, CA, 953554201
- Phone
- (209) 524-1211
Specialties & Taxonomies
Dermatology
Primary License: CA #A24987