Peter John Wagner, MD
Peter John Wagner, MD is a Behavioral Neurology & Neuropsychiatry Physician in Rancho Mirage, California. Licensed in California and Colorado. Registered with an NPI since 2005.
- Licensed in
- CA, CO
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
39000 Bob Hope DrRancho Mirage, CA 92270-3221
Phone: (760) 837-8767
Fax: (760) 837-8806
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavioral Neurology & Neuropsychiatry Physician (primary) | Taxonomy 2084B0040X · Licence C130554 (CA) |
|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | Taxonomy 2084B0040X · Licence 36158 (CO) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 36158 (CO) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence C130554 (CA) |
Record details
| NPI number | 1962403774 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 2, 2005 |
| Last updated in NPPES | November 15, 2021 |
| Certification date | November 15, 2021 |
| Mailing address | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 |