Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT WAGNER, MD
ActiveROBERT WAGNER, MD is a 207PE0005X healthcare provider located in IDAHO FALLS, Idaho. NPI 1578543989 is currently active in the NPPES registry. Verify at CMS.
207PE0005X · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1578543989
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2006 (20.532884779012 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
M5280 (ID)M5280 (ID)
Practice Information
- Address
-
3100 CHANNING WAYIDAHO FALLS, ID, 834047533Browse ID providers · Browse ZIP 83404
- Phone
- 2085354130
- Fax
- 2085354125
- Primary Specialty
-
207PE0005X
207PE0005X
- Additional Specialty
- 207PE0005X
Other 207PE0005X Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT M PACKER | MD | 1275510661 |
| DR. JOSEPH M ANDERSON | DO | 1326025396 |
| DR. SCOTT G CROSS | MD | 1932186939 |
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.