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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. DEBORAH E WAGNER, PA-C

Active Sole Proprietor

MRS. DEBORAH E WAGNER, PA-C is a Physician Assistant healthcare provider located in CHESTERFIELD, Missouri. NPI 1154371664 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHESTERFIELD, MO

Registration Details

NPI Number
1154371664
Provider Type
Individual
Gender
Female
NPI Issued
May 12, 2006 (20.215699087109 yrs)
Last Updated
Aug 31, 2010
License
2004000667 (MO)
Sole Proprietor
Yes

Practice Information

Address
1001 CHESTERFIELD PKWY E
SUITE 101
CHESTERFIELD, MO, 630172041
Browse MO providers · Browse ZIP 63017
Phone
3148783839
Fax
3148786575
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CHESTERFIELD, MO

Name Credential NPI
MR. MICHAEL ALLAN RAETHKA PA 1033109392
MR. JOSEPH SCERBA PA 1740217454
MS. KYMBERLY L GOMEZ PA 1225068851
DONNA MARIE SINIBALDI PA-C 1174695464
JEFFREY D TODD PA-C 1578635488
MRS. AMY LOUISE BLOOMFIELD PA 1790976173
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.