Charles Wesley Wagner, MD
NPI #1003532268 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1003532268
- Entity Type
- Individual
- Name
- Charles Wesley Wagner, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Surgery - Pediatric Surgery
- Credential
- MD
- Enumeration Date
- Oct 18, 2022
- Last Updated
- Oct 18, 2022
Practice Location
- Address
- 12609 SAINT CHARLES BLVD
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72211-2227
- Phone
- (501) 680-0738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Pediatric Surgery — Pediatric Surgery |
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