Tommy W Wagner, MD

NPI #1952385064 in Manila, Arkansas

Provider Information

NPI Number
1952385064
Entity Type
Individual
Name
Tommy W Wagner, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Dec 1, 2005
Last Updated
Feb 20, 2014

Practice Location

Address
3644 W ST HWY 18
City
Manila
ZIP Code
72442
Phone
(870) 561-3300

Specialties & Taxonomy Codes

Specialty
Family Medicine

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