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

MR. BRUCE ROBERT WAGNER, CCC AUDIOLOGY

Active

MR. BRUCE ROBERT WAGNER, CCC AUDIOLOGY is a Audiologist healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1164689683 is currently active in the NPPES registry. Verify at CMS.

Audiologist · CHARLOTTESVILLE, VA

Registration Details

NPI Number: 1164689683
Provider Type: Individual
Gender: Male
NPI Issued: May 21, 2008 (18.272870862295 yrs)
Last Updated: May 21, 2008
Licenses: 2201000223 (VA)

2101000261 (VA)

Practice Information

Address: 218 WEST MARKET ST

SUITE 7

CHARLOTTESVILLE, VA, 229025027
Browse VA providers · Browse ZIP 22902
Phone: 4342937368
Fax: 4342935752
Primary Specialty: Audiologist
231H00000X
Additional Specialty: Audiologist-Hearing Aid Fitter

Other Audiologist Providers in CHARLOTTESVILLE, VA

Name	Credential	NPI
DR. MANUELA C. AGUILAR	AU.D.	1174598866
LAURA JEAN ISTWANY	M.ED., CCC-A	1922053313
MRS. MARIAN S FREDNER	M.S.	1679506042
LORI J GROVE	—	1558437533
DR. KRISTIN RACHEL KOCH	AU. D.	1275682304
AMBER G KISER	PH.D.	1790817138

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.