Timothy Allen Wagner, D.C.

NPI #1881644292 in Broken Arrow, Oklahoma

Provider Information

NPI Number
1881644292
Entity Type
Individual
Name
Timothy Allen Wagner, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
May 10, 2006
Last Updated
Jul 10, 2014

Practice Location

Address
2016 W. HOUSTON
ZIP Code
74012
Phone
(918) 742-2094

Specialties & Taxonomy Codes

Specialty
Chiropractor

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