Doctor Name: | SAGE WEXNER |
NPI Number: | 1205164050 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 46698 |
Business Practice Address: | 1700 Mount Vernon Ave Emergency Medicine Residency Program Bakersfield, CA - 933064018 |
Business Phone Number: | 6613262000 |
Business Fax Number: | |
Mailing Address: | 1700 Mount Vernon Ave, Emergency Medicine Residency Program BAKERSFIELD |
State: | CA |
Postal Code: | 933064018 |
Phone Number: | 6613262000 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2009 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 46698 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |