Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES WESLEY WAGNER, MD
Active Sole ProprietorCHARLES WESLEY WAGNER, MD is a Pediatric Surgery healthcare provider located in LITTLE ROCK, Arkansas. NPI 1003532268 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · LITTLE ROCK, AR
Registration Details
- NPI Number
- 1003532268
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2022 (3.8348263748812 yrs)
- Last Updated
- Oct 18, 2022
- License
-
N-7036 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12609 SAINT CHARLES BLVDLITTLE ROCK, AR, 722112227Browse AR providers · Browse ZIP 72211
- Phone
- 5016800738
- Primary Specialty
-
Pediatric Surgery
2086S0120X
Other Pediatric Surgery Providers in LITTLE ROCK, AR
| Name | Credential | NPI |
|---|---|---|
| SAMUEL SMITH | MD | 1124118799 |
| DR. MELVIN SIDNEY DASSINGER III | M.D. | 1851423867 |
| JEFFREY BURFORD | M.D. | 1962613158 |
| MICHAELA CHRISTINA KOLLISCH-SINGULE | M.D. | 1679865935 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.