Overview
Name: PETER JOHN WAGNER M.D.
Specialty: Behavioral Neurology & Neuropsychiatry Physician
Type of Practice: Individual provider
Provider/Org:
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation year from medical school: 1995
Affiliation: EISENHOWER MEDICAL CENTER
Specialties
Practice Type: Allopathic & Osteopathic Physicians
Classification: Psychiatry & Neurology
Specialization: Behavioral Neurology & Neuropsychiatry. NEUROPSYCHIATRY PSYCHIATRY
Definition of Specialty: Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
License & NPI
License #(s): C130554, 36158, 36158, C130554,
License State(s): CA, CO, CO, CA,
Addresses
Practice Location: 39000 BOB HOPE DR,RANCHO MIRAGE,CA,922703221,US
Mailing Address: 39000 BOB HOPE DR,RANCHO MIRAGE,CA,922703221,US
Contact #
Practice location phone #: 7608378767
Practice location fax #: 7608378806
Mailing address Phone #: 7608378767
Mailing Address fax #: 7608378806
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/02/2005
Last data data was updated: 11/15/2021
Insurances: