Mary K. Wagner, M.D.
Pediatrics · Spokane Valley, WA
UnclaimedM.D.NPI 1427040203
- Primary taxonomy
- 208000000X
- Enumerated
- 2005-08-18
- Practice location
- Spokane Valley, WA
- Last NPPES update
- 2011-07-29
State licenses
- WA · Physician · NPPES self-reportedListed on NPI record
- WA · Physician · Physician And Surgeon LicenseActivethrough 2026
- WA · Physician · Physician And Surgeon Temporary Permit - MDTPInactive
- WA · Registered nurse · Registered Nurse LicenseExpiredthrough 2012
- WA · Registered nurse · Registered Nurse LicenseExpiredthrough 1981
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.