(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003532268
Provider Name: CHARLES WESLEY WAGNER MD
Entity Type: Individual
Taxonomy Code: 2086S0120X
Specialty: Surgery
License Number: N-7036
Most Important Dates
Enumeration Date: 10/18/2022
Last Updated: 10/18/2022
Provider Practice Location
12609 SAINT CHARLES BLVD
LITTLE ROCK
AR
722112227
Practice Location Phone/Fax
Phone: 5016800738
Fax:
Provider Mailing Location
1 CHILDRENS WAY
LITTLE ROCK
AR
722023500
Provider Mailing Phone/Fax
Phone: 5013641447
Fax: