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

MR. PHILLIP LEROY WAGNER, MD

Active

MR. PHILLIP LEROY WAGNER, MD is a Occupational Medicine healthcare provider located in VALLEJO, California. NPI 1912931619 is currently active in the NPPES registry. Verify at CMS.

Occupational Medicine · VALLEJO, CA

Registration Details

NPI Number
1912931619
Provider Type
Individual
Gender
Male
NPI Issued
Jul 10, 2006 (20.13184121839 yrs)
Last Updated
Dec 15, 2021
License
20060083 (NM)

Practice Information

Address
975 SERENO DR
OCCUPATIONAL MEDICINE
VALLEJO, CA, 945892441
Browse CA providers · Browse ZIP 94589
Phone
7076512243
Primary Specialty
Occupational Medicine
2083X0100X

Other Occupational Medicine Providers in VALLEJO, CA

Name Credential NPI
MICHAEL A. PALOMINO MD 1992883706
SUSAN D. LAMBERT MD 1720166549
JEFFREY L. GAO MD 1710065552
BRIAN E. KNAPP MD 1528146362
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.