Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Earl Jason Wagner, SUBMARINEIDC

Individual provider Independent Duty Corpsman · NPI 1770749541

Earl Jason Wagner, SUBMARINEIDC is an Independent Duty Corpsman in FPO, Armed Forces Europe. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Uss Pittsburgh SSN-720
FPO, AE 09582-2400
Phone: (860) 694-3618

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1770749541
Entity typeIndividual (Type 1)
GenderMale
Credentials SUBMARINEIDC
Sole proprietorYes
NPI enumeratedJuly 31, 2008
Last updated in NPPESJuly 31, 2008

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