Search › California › 207R00000X
Brent Wagner, M.D
NPI 1366885501 · on the registry since 2013
Practice
- Address
- 72605 Highway 111
Palm Desert, CA 92260 - Phone
- (760) 404-0135
- Fax
- (760) 537-2948
- Organisation at this address
- Desert Oaisis Healthcare
Desert Medical Group, IncInferred from a shared address, not stated in the registry.
Additional practice sites
- 13001 E 17th Pl, Aurora, CO
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-16
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 California