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Search › New Mexico › 122300000X

Jeffrey Wagner, DDS

NPI 1174580120 · on the registry since 2006

Practice

Address
1501 San Pedro Dr Se
Albuquerque, NM 87108
Phone
(505) 256-2778
Organisation at this address
Vha
Nmvahcs
Nmvahcs
Va Hospital
Albuquerque Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
677

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico