IndividualActive
Vitas Wagner, MD
NPI 1982115358 · Colon & Rectal Surgery Physician · Tacoma, WA
Provider details
- NPI number
- 1982115358
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD61176219 (WA)
Practice location
1708 Yakima Ave Ste 105
Tacoma, WA 98405-5300
Phone: (253) 552-1200
Fax: (253) 552-1239
Mailing address
1708 Yakima Ave Ste 105
Tacoma, WA 98405-5300
Registry dates
- Enumerated
- 2017-10-12
- Last updated
- 2025-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.