Provider Information
Last Updated : Aug 14 2024 4:02 PM
Elliott J Wagner
City Clovis |
Group SANTE PHYSICIANS CAPITATED |
Specialty Radiology |
Last Name Wagner |
First Name Elliott |
Middle Name J |
Address 2755 Herndon Ave |
State CA |
Zip Code 93611 |
Phone (559)447-4022 |
Hours Sun - Sat 12:00 AM - 11:59 PM |
Gender M |
Title M.D. |
Physician ID 035492 |
Section Number 4 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME SANTE PHYSICIANS CAPITATED |
PPG ID MFRH3 |
NPI Number 1558312579 |
Access Requirement Limited |
PARKING_IND P |
License ID G049698 |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available only through a hospital or facility |
PHY CCT IND N |