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Ronald W Wagner Jr., CRNA

Nurse Anesthetist, Certified Registered in Bakersfield, CA. Individual provider (NPI-1).

NPI number1649419086
StatusActive
Last updated in NPPESMay 22, 2015

Details

NPI
1649419086
Entity type
Individual (NPI-1)
Name
Mr. Ronald W Wagner Jr.
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Feb 9, 2009
Last updated
May 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredNA4061CAYes
163W00000X Registered Nurse566138CA
163W00000X Registered Nurse0001210184VA

Practice location

2635 G St
Bakersfield, CA 93301-2813

Phone 661-633-1500 · Fax 661-633-2700

Mailing address

2635 G St
Bakersfield, CA 93301-2813

Phone 661-633-1500 · Fax 661-633-2700

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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