Whalio Doctors

NPI 1457329997

Robert Harrison Wagner, MD

Practitioner Interventional Pain Medicine Physician Fairfax, VA

Practice location

Address
8501 Arlington Blvd STE 410, Fairfax, VA 22031
Phone
(703) 738-4331
Fax
(703) 642-1876
Mailing address
11350 McCormick Road Executive Plaza 1, Suite 501, Hunt Valley, MD 21031

Registered specialties (2)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 0101054689 (VA)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 0101054689 (VA)

Registry record

NPI
1457329997
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Mar 2006
Record last updated
26 Jul 2021

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.