David V Wagner, MD Valid NPI
Individual provider · Otolaryngology Physician · Sioux City, IA
- NPI
- 1508836123
- Type
- Individual (Type 1)
- Primary specialty
- Otolaryngology Physician (Otolaryngology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Y00000X
- License number
- 29266 (IA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-01-25
- Last updated
- 2008-04-28
Practice location
2730 Pierce St, Suite 204
Sioux City, IA 51104-3796
(712) 234-8787