person
Dustin Wagner, PA
Surgical Physician Assistant in Oklahoma City, Oklahoma
NPI 1093453565

Dustin Wagner is a Surgical Physician Assistant based in Oklahoma City, OK and is specialized in Surgical. Dustin Wagner practices in Oklahoma City, OK and has the professional credentials of PA. The NPI Number for Dustin Wagner is 1093453565 and holds a License No. 4800 (Oklahoma).

The current practice location address for Dustin Wagner is 5401 N Portland Ave Ste 600, Oklahoma City, OK and can be reached out via phone at 405-713-9940 and via fax at 405-713-9941.

Location: 5401 N Portland Ave Ste 600, Oklahoma City, OK, 73134-2640
person
Provider Profile Details
NPI Number
1093453565
Provider Name
Dustin Wagner
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5401 N Portland Ave Ste 600, Oklahoma City, OK, 73134-2640
Phone Number
405-713-9940
Fax Number
405-713-9941
Provider Enumeration Date
05/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5401 N Portland Ave Ste 600
City
State
Zip
73112-2090
Phone Number
405-713-9940
Fax Number
405-713-9941
person
Provider Business Mailing Address Details
Address
5401 N Portland Ave Ste 600
City
State
Zip
73112-2090
Phone Number
405-713-9940
Fax Number
405-713-9941
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
4800 (Oklahoma)
Definition
Definition to come...
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