Paul Wagner, C.C.P.

Individual Active
NPI 1518063916
Vascular Specialist/Technologist Cardiovascular Modesto, CA

Paul Wagner, C.C.P. holds NPI 1518063916, with a primary taxonomy of vascular specialist/technologist cardiovascular and a practice location in Modesto, CA. The number was issued on September 15, 2006 and the NPPES record was last updated on July 8, 2007.

This record hasn't been updated in NPPES since 2007. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Vascular Specialist/Technologist Cardiovascular Primary 246XC2903X 890191-0970 (MS)

Practice location

1836 Harbor Cv
Modesto, CA 95355-1856
Phone: (209) 484-8516

Local context

Active NPPES records list 1 provider with vascular specialist/technologist cardiovascular as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 24 in California and 144 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Paul Brooks Wagner
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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