Robert Jacob Wagner, JR.
Medical Specialty
Professional ID
- NPI: 1356363550
- PECOS ID: 3476615295
- Enrollment ID: I20090102000285
- Credential(MD, DO, DPM):
- Medical School: Loma Linda University School Of Medicine
- Medical School Graduation Year: 1969
Hospital Service
- Hospital CCN1: 050327
- Business Name (LBN)1: Loma Linda University Medical Center
Medical Practices
- Organization Name: Faculty Physicians And Surgeons Of Llusm
- Group Practice ID assigned by PECOS: 1153227814
- Number of Group Practice member: 884
Location
Location
Location
- Address1: 2195 Club Ctr Dr
- Address2: Suite A
- City: San Bernardino
- State: California
- Zip Code: 92408
- Phone Number: (909)835-1750
Location
Location
- Address1: 26780 Barton Rd
- Address2:
- City: Redlands
- State: California
- Zip Code: 92373
- Phone Number: (909)558-5174
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes