NPI 1366540742

Charles John Wagner, MD

Practitioner Allergy & Immunology Physician Salem, OR

Practice location

Address: 1793 13th St SE, Salem, OR 97302-2541
Phone: (503) 362-8385
Fax: (503) 362-8435

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence OR14081 (OR)

Other Allergy & Immunology providers in Oregon →

Registry record

NPI: 1366540742
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 5 Jul 2016

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.