NPI 1194720748
Brent J. Wagner, MD
Practice location
- Address
- 301 S 7th Ave STE 135, West Reading, PA 19611-1442
- Phone
- (610) 988-8919
- Fax
- (610) 988-8400
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1194720748
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Jun 2005
- Record last updated
- 8 Jul 2007
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.