Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DUSTIN WAGNER, PA
ActiveDUSTIN WAGNER, PA is a Surgical Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1093453565 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1093453565
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2022 (4.2606567776709 yrs)
- Last Updated
- Jan 12, 2023
- License
-
4800 (OK)
Practice Information
- Address
-
5401 N PORTLAND AVE STE 600OKLAHOMA CITY, OK, 731122090Browse OK providers · Browse ZIP 73112
- Phone
- 4057139940
- Fax
- 4057139941
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| MARK DANIEL JOHNSON | PA-C | 1508855677 |
| DEMETRIOUS FARROW | PA-C | 1598754608 |
| MS. AMY B RISLEY | PA | 1487626826 |
| MR. GRANT D ROBERTS | PA | 1336111483 |
| MR. RANDALL ASHLEY PAPE | PA-C | 1891761136 |
| STEPHANIE R. GARRISON | P.A. | 1124094446 |
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.