Dr. AUSTIN J WAGNER D.O.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1285899401- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 3600 NE RALPH POWELL RD STE D, LEES SUMMIT, MO, 640642369
- Phone
- (816) 675-0920
Specialties & Taxonomies
Unknown
License: KS #05-41644
Unknown
Primary License: MO #2015007378