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NPI Code Detail

MEDICARE: DISPATCHHEALTH NV WAGNER PC

MEDICARE: DISPATCHHEALTH NV WAGNER PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1023538790
Entity Type Code : Organization
Provider Name (Legal Business Name) : DISPATCHHEALTH NV WAGNER PC
Provider Business Mailing Address
First Line : 3825 N LAFAYETTE ST
Second Line :
City : DENVER
State : CO
Zip : 80205-3316
Country : US
Telephone Number : 303-500-1518
Fax Number : 720-598-0440
Provider Business Practice Location Address
First Line : 376 E WARM SPRINGS RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4241
Country : US
Telephone Number : 702-848-4443
Fax Number :
Authorized Official
Title or Position : AO
Name : WILLIAM KRAMER
Credential :
Telephone Number : 215-813-5940
Provider Enumeration Date : 06/23/2017
Last Update Date : 07/09/2025

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Directions to “DISPATCHHEALTH NV WAGNER PC ” Practice Location

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