T W WAGNER INC

Family Medicine

Active Organization
NPI: 1720183031

Practice Address

3644 W STATE HIGHWAY 18
Manila, AR 72442

Phone: (870) 561-3300

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X No A01771 (AR)
Family Medicine 207Q00000X Yes E3873 (AR)

Frequently Asked Questions

NPI 1720183031 is the National Provider Identifier for T W WAGNER INC, a Family Medicine provider located in Manila, AR. This NPI was enumerated on September 13, 2006.

Quick Facts

NPI
1720183031
Type
Organization
Enumerated
Sep 13, 2006
Last Updated
Jul 22, 2016

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