Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Drue O. Wagner, MD

Individual provider Family Medicine Physician · NPI 1891918629

Drue O. Wagner, MD is a Family Medicine Physician in Moscow, Idaho. Practices as a sole proprietor. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

619 S Washington St Ste 203
Moscow, ID 83843-3090
Phone: (208) 892-1346
Fax: (208) 892-8306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 00028927 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence M-11013 (ID)

Record details

NPI number1891918629
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2007
Last updated in NPPESFebruary 4, 2019

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