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CONNOR SPELLMAN WAGNER MD
NPI 1134989130
Student in an Organized Health Care Education/Training Program in Palo Alto, CA

Active since March 19, 2024
770 WELCH RD FL 4, PALO ALTO, CA 94304(650) 723-5824(650) 725-6605 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Connor Spellman Wagner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNOR SPELLMAN WAGNER MD (NPI 1134989130) is an individual student in an organized health care education/training program in Palo Alto, California and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1134989130
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR SPELLMAN WAGNERCredential: MD
Location Address770 WELCH RD FL 4Palo Alto, CA 94304-1511
Mailing Address770 Welch Rd Fl 4Palo Alto, CA 94304-1511 · (650) 723-5824 · Fax (650) 725-6605
Phone(650) 723-5824
Fax(650) 725-6605
Sole ProprietorNo
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1134989130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
770 WELCH RD FL 4, Palo Alto, CA 94304
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAOMI ADESUWA COLE MD
Student in an Organized Health Care Education/Training Program
770 WELCH RD FL 4
PALO ALTO, CA 94304
Santa Clara County (650) 723-5824
DR. ALLISON C HU MD
Student in an Organized Health Care Education/Training Program
770 WELCH RD FL 4
PALO ALTO, CA 94304
Santa Clara County (650) 723-5824
DR. FARRAH LIU MD
Student in an Organized Health Care Education/Training Program
770 WELCH RD FL 4
PALO ALTO, CA 94304
Santa Clara County (650) 723-5824
MEEWON OLIVIA PARK MD
Student in an Organized Health Care Education/Training Program
770 WELCH RD FL 4
PALO ALTO, CA 94304
Santa Clara County (617) 910-8190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Wagner's NPI number?

The NPI number for Connor Wagner is 1134989130. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Connor Wagner located?

Connor Wagner practices at 770 Welch Rd Fl 4, Palo Alto, CA 94304. The listed phone number is (650) 723-5824.

What is Connor Wagner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Connor Wagner was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.