Wagner, Mary K.
Wagner, Mary K. is an individual health care provider with primary practice located at 1414 N Vercler Rd Building 1, Spokane Valley WA 99216-1092. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wagner, Mary K. can be contacted via phone (509) 928-6383.Contact Information
Primary practice address
1414 N Vercler Rd Building 1
Spokane Valley WA 99216-1092
Phone: (509) 928-6383
Fax: (509) 926-9420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60167561 | Washington |
Profile Details
| NPI number | 1427040203 |
|---|---|
| LBN Legal business name | Wagner, Mary K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 29th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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