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Nathan Wagner, PSY.D
NPI 1518920313 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1544 Oxbow Dr Ste 212
Montrose, CO 81401 - Phone
- (970) 765-2060
- Fax
- (970) 808-2600
- Organisation at this address
- Marcia M. Middel
Black Canyon Dental
Black Canyon Dental, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 636 Church St, Evanston, IL
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
103TC0700X - Licence states on file
- PA, IL, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-23
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 Colorado