OrganizationActive
Jeffrey D. Wagner, MD, PC
NPI 1609079607 · Medical Specialty Clinic/Center · Indianapolis, IN
Provider details
- NPI number
- 1609079607
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jeffrey Wagner, President
Practice location
8040 Clearvista Pkwy Ste 570
Indianapolis, IN 46256-4673
Phone: (317) 621-2580
Fax: (317) 621-2580
Mailing address
8040 Clearvista Pkwy Ste 570
Indianapolis, IN 46256-4673
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2021-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.