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ROY M WAGNER, DO

FAMILY PRACTICE · O FALLON, IL

Provider

NPI
1477187383
Credential
DO
Primary specialty
FAMILY PRACTICE
Gender
Male
Medical school
LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduation year
2020

Practice

Address
1 SAINT ELIZABETH BLVD, O FALLON, IL 622691099
Phone
6182342120
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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