TOMMY WAGNER, MD

Family Medicine

Active Individual
NPI: 1952385064

Practice Address

3644 W ST HWY 18
Manila, AR 72442

Phone: (870) 561-3300

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes E3873 (AR)

Frequently Asked Questions

NPI 1952385064 is the National Provider Identifier for TOMMY WAGNER, MD, a Family Medicine provider located in Manila, AR. This NPI was enumerated on December 1, 2005.
TOMMY WAGNER, MD practices at 3644 W ST HWY 18, Manila, AR 72442.

Quick Facts

NPI
1952385064
Type
Individual
Enumerated
Dec 1, 2005
Last Updated
Feb 20, 2014

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