MR. DAVID KENT WAGNER CSA OPA NPI 1295897437

NPI Information

NPI: 1295897437
Provider Name: MR. DAVID KENT WAGNER, CSA, OPA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1008 TAVERN ROAD
STE 102
MARTINSBURG, WV
ZIP 25401
Phone: (304) 263-5129
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MR. David Kent Wagner, CSA, OPA is a surgical physician assistant in Martinsburg, WV. MR. David Kent Wagner, CSA, OPA NPI is 1295897437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1008 TAVERN ROAD
STE 102
MARTINSBURG, WV
ZIP 25401-864
Phone: (304) 263-5129

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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