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Samuel Wagner
NPI 1285413138 · on the registry since 2023
Practice
- Address
- 177 W Price Ave
South Salt Lake, UT 84115 - Phone
- (385) 468-4500
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-31
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 Utah