Dustin Wagner, PA
NPI #1093453565 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1093453565
- Entity Type
- Individual
- Name
- Dustin Wagner, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- May 24, 2022
- Last Updated
- Jan 12, 2023
Practice Location
- Address
- 5401 N PORTLAND AVE STE 600
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73112-2090
- Phone
- (405) 713-9940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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