Provider Demographics
NPI:1316127889
Name:VERONESE, WAGNER ALFIO JR (MD)
Entity type:Individual
Prefix:DR
First Name:WAGNER
Middle Name:ALFIO
Last Name:VERONESE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:850 HARVARD WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-2055
Mailing Address - Country:US
Mailing Address - Phone:775-982-5262
Mailing Address - Fax:775-982-5496
Practice Address - Street 1:10085 DOUBLE R BLVD STE 255
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521
Practice Address - Country:US
Practice Address - Phone:775-982-5000
Practice Address - Fax:775-982-7231
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2018-07-09
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Provider Licenses
StateLicense IDTaxonomies
NE5722207V00000X
WY9602A207V00000X
NV17809207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology