Benjamin Wagner
MD | Pediatrics | Male
Benjamin Wagner, MD is a Tacoma, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Benjamin Wagner is
9060 Jackson Avenue, Tacoma, Washington - 98431-0001. He can be contacted on phone at
253-968-3066.
Benjamin Wagner is a sole proprietor of his business.
NPI number (Unique professional ID) for Benjamin Wagner is
1568924231 which was assigned by NPPES on 02 Apr, 2019 and it was last updated on 19 May, 2023.
Benjamin Wagner license number is
61339518 for Pediatrics (208000000X) in Washington.
Benjamin Wagner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Benjamin Wagner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Benjamin Wagner |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Benjamin Wagner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9060 Jackson Avenue
Tacoma, WA, 98431-0001
United States |
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| Phone Number : | 253-968-3066 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568924231 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Apr, 2019 |
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| Last Updated On : | 19 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Benjamin Wagner are as mentioned. Primary taxonomy code for Benjamin Wagner, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 0101271872 | VA |
| 208D00000X | General Practice | No | 0101271872 | VA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 208000000X | Pediatrics | Yes | 61339518 | WA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9060 Jackson Avenue
Tacoma, WA, 98431-0001
United States |
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| Phone Number : | 253-968-3066 |
|---|
Business Location:
Patients can refer following map for directions to
Benjamin Wagner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.