Drue O. Wagner, M.D.
Family Medicine · Moscow, ID
UnclaimedM.D.NPI 1891918629
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2007-04-10
- Practice location
- Moscow, ID
- Last NPPES update
- 2019-02-04
State licenses
- ID · Physician · NPPES self-reportedListed on NPI record
- WA · Physician · NPPES self-reportedListed on NPI record
- WA · Physician · Physician And Surgeon LicenseExpiredthrough 2023
“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.