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Search › Arizona › 175F00000X

Amy Wagner, NMD

NPI 1225381999 · on the registry since 2012 · sole proprietor

Practice

Address
2919 S Ellsworth Rd
Suite 109
Mesa, AZ 85212
Phone
(480) 357-5555
Fax
(480) 357-0011
Organisation at this address
Custom Smile Llc
Az Feet Fixers Llc
George Wang,Md,Llc
Yara Vargas Md Plc
Valley Pediatric Aba
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Registry record

Primary taxonomy
175F00000X
175F00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-03

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 Arizona