DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BETHANY GALE WAGENER, PA-C

Active Sole Proprietor

BETHANY GALE WAGENER, PA-C is a Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1063711190 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OKLAHOMA CITY, OK

Registration Details

NPI Number
1063711190
Provider Type
Individual
Gender
Female
NPI Issued
Mar 15, 2011 (15.439210241524 yrs)
Last Updated
Mar 15, 2011
License
APA2006 (OK)
Sole Proprietor
Yes

Practice Information

Address
2901 N CLASSEN BLVD
SUITE 200
OKLAHOMA CITY, OK, 731065493
Browse OK providers · Browse ZIP 73106
Phone
9185941300
Fax
9185941312
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in OKLAHOMA CITY, OK

Name Credential NPI
SUSAN D WORSHAM PA 1245233113
MR. ROGER D HELLWEGE PA-C 1295738110
MICHAEL A THAYER PA 1558364422
JEFFREY D MARTENS PA 1659374049
GREGORY W DINWIDDIE PAC 1578567848
KENDALL LEIGH PHILLIPS PA 1306840327
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.