Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TOMMY W WAGNER, MD
ActiveTOMMY W WAGNER, MD is a Family Medicine healthcare provider located in MANILA, Arkansas. NPI 1952385064 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MANILA, AR
Registration Details
- NPI Number
- 1952385064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.714105764014 yrs)
- Last Updated
- Feb 20, 2014
- License
-
E3873 (AR)
Practice Information
- Address
-
3644 W ST HWY 18MANILA, AR, 72442Browse AR providers · Browse ZIP 72442
- Phone
- 8705613300
- Fax
- 8705613307
- Primary Specialty
-
Family Medicine
207Q00000X
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.