NPI 1083957492

Steffanie Wagner, DVM

Practitioner Veterinarian Midvale, UT

Practice location

Address: 308 W 7200 S, Midvale, UT 84047-1041
Phone: (801) 871-0600
Fax: (801) 566-1155

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 7655356-2801 (UT)

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Registry record

NPI: 1083957492
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2013
Record last updated: 4 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.