Wagner, Robert Lee

Wagner, Robert Lee is an individual health care provider with primary practice located at 9850 Genesee Ave Ste 820 , La Jolla CA 92037-1219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Wagner, Robert Lee can be contacted via phone (858) 454-5442.

Contact Information

Primary practice address
9850 Genesee Ave Ste 820 La Jolla CA 92037-1219
Phone: (858) 454-5442
Fax: (858) 431-4633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G41244 California

Profile Details

NPI number 1720094055
LBN Legal business name Wagner, Robert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jan 7th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720094055 NPPES
California Other P00728781 RAILROAD MEDICARE

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