Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DRUE O. WAGNER, M.D.
Active Sole ProprietorDR. DRUE O. WAGNER, M.D. is a Family Medicine healthcare provider located in MOSCOW, Idaho. NPI 1891918629 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MOSCOW, ID
Registration Details
- NPI Number
- 1891918629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.348590525183 yrs)
- Last Updated
- Feb 4, 2019
- Licenses
-
00028927 (WA)M-11013 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
619 S WASHINGTON STSUITE 203MOSCOW, ID, 838433090Browse ID providers · Browse ZIP 83843
- Phone
- 2088921346
- Fax
- 2088928306
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MOSCOW, ID
| Name | Credential | NPI |
|---|---|---|
| PATRICIA N. MARCIANO | M.D. | 1053398578 |
| WAYNE LAVERN RUBY | MD | 1285607085 |
| DAVID D SHUPE | MD | 1306819115 |
| FRANCIS KERK SPAIN | MD | 1669445474 |
| ROBERT MANUEL TING | MD | 1992778708 |
| GLENN DAVID RYCH | MD | 1013981604 |
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.