Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUKE ANDREW WAGNER, SOIDC
ActiveLUKE ANDREW WAGNER, SOIDC is a Independent Duty Corpsman healthcare provider located in CORONADO, California. NPI 1013589407 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · CORONADO, CA
Registration Details
- NPI Number
- 1013589407
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2021 (4.9021855536981 yrs)
- Last Updated
- Jul 14, 2021
Practice Information
- Address
-
917 3RD STCORONADO, CA, 921181313Browse CA providers · Browse ZIP 92118
- Phone
- 3057934777
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in CORONADO, CA
| Name | Credential | NPI |
|---|---|---|
| JOHN COPE | — | 1891077038 |
| ALEXIS GUADALUPE CHAVEZ | — | 1902159916 |
| LISA J LAKIN | IDC | 1497199848 |
| LEONARD SYDNOR | — | 1073924734 |
| FRANCISCO SILVA | — | 1326418708 |
| MR. CALEB JAMES HAYNIE SR. | IDC | 1003361742 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.