CHRISTOPHER WILLIAM WAGNER MD NPI 1427704394

NPI Information

NPI: 1427704394
Provider Name: CHRISTOPHER WILLIAM WAGNER, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9040 JACKSON AVENUE
TACOMA, WA
ZIP 98431
Phone: (253) 968-1250
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Christopher William Wagner, MD is a general practice in Tacoma, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Christopher William Wagner, MD NPI is 1427704394. 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:

9040 JACKSON AVENUE
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-1250

The NPI 1427704394 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2022 and was last updated on 10/12/2023.

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	License Number	License State	Primary
1	171000000X	Military Health Care Provider			No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	208D00000X	General Practice	0101280169	VIRGINIA	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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