IndividualActive
Carl Wagner, D.O.M.
NPI 1083780357 · Acupuncturist · Taos, NM
Provider details
- NPI number
- 1083780357
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- D.O.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 341 (NM)
Specialties & taxonomies
Other Service Providers
Practice location
1332 Gusdorf Rd
Ste. E
Taos, NM 87571-6371
Phone: (505) 758-2700
Fax: (505) 758-2700
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 28
Chamisal, NM 87521-0028
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.