Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dane Joshua Wagner

Individual provider Physician Assistant · NPI 1417866468

Dane Joshua Wagner is a Physician Assistant in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

1900 Commerce St
Tacoma, WA 98402-3112
Phone: (253) 692-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (WA)

Record details

NPI number1417866468
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 4, 2026
Last updated in NPPESSeptember 30, 2026
Certification dateSeptember 30, 2026

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