Mr. Paul Brooks Wagner, CCP
Mr. Paul Brooks Wagner, CCP is a Vascular Specialist/Technologist Cardiovascular in Modesto, California. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
1836 Harbor CvModesto, CA 95355-1856
Phone: (209) 484-8516
Fax: (209) 576-3613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Specialist/Technologist Cardiovascular (primary) | Taxonomy 246XC2903X · Licence 890191-0970 (MS) |
|---|
Record details
| NPI number | 1518063916 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCP |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2006 |
| Last updated in NPPES | July 8, 2007 |