Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROY MARSHALL WAGNER, DO
ActiveDR. ROY MARSHALL WAGNER, DO is a Family Medicine healthcare provider located in O FALLON, Illinois. NPI 1477187383 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · O FALLON, IL
Registration Details
- NPI Number
- 1477187383
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 29, 2020 (6.4525290791615 yrs)
- Last Updated
- Nov 7, 2023
- License
-
036164627 (IL)
Practice Information
- Address
-
3 SAINT ELIZABETH BLVD STE 4000O FALLON, IL, 62269Browse IL providers · Browse ZIP 62269
- Phone
- 6182337880
- Fax
- 6182224792
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN L PRITCHETT | M.D. | 1174522197 |
| DORRIE C TREDWAY | MD | 1891787040 |
| DAVID ALLEN MCCARTHY | MD | 1346242799 |
| SCOTT F MORRISON | MD | 1508858713 |
| DR. JAMES LEON JABLONSKI II | M.D. | 1194712513 |
| DR. JACOB C. MARSHALL JR. | M.D. | 1922081249 |
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.