| Robert Wagner, MD | |
|
3100 Channing Way, Idaho Falls, ID 83404-7533 | |
| (208) 535-4130 | |
| (208) 535-4125 |
| Full Name | Robert Wagner |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Undersea And Hyperbaric Medicine |
| Location | 3100 Channing Way, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578543989 | NPI | - | NPPES |
| 57968 | Other | ID | BLUE CROSS |
| 4012400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M5280 (Idaho) | Primary |
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | M5280 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Wagner, MD Po Box 1647, 22860 Channing Way Suite 115, Idaho Falls, ID 83403-1647 Ph: (208) 535-4130 | Robert Wagner, MD 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 535-4130 |
Dr. Jerry B Smedley, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2001 | |
Dr. Matthew R Griggs, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4130 Fax: 208-535-4125 | |
Douglas James Cook, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-7910 | |
Dr. Scott M Packer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4130 Fax: 208-535-4125 | |
Dr. Joseph M Anderson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4130 Fax: 208-535-4125 | |
Dr. Justin John Thompson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269 | |
Ahmed M. Mahmood, MD, PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 |