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T W Wagner Inc
Family Nurse Practitioner in Manila, Arkansas
NPI 1720183031

T W Wagner Inc is a Family Nurse Practitioner based in Manila, AR and is specialized in Family. T W Wagner Inc practices in Manila, AR. The NPI Number for T W Wagner Inc is 1720183031 and holds a License No. E3873 (Arkansas).

The current practice location address for T W Wagner Inc is 3644 W State Highway 18, Manila, AR and can be reached out via phone at 870-561-3300 and via fax at 870-561-3307.

Location: 3644 W State Highway 18, Manila, AR, 72442-0910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720183031
Provider Name
T W Wagner Inc
Credential
Provider Entity Type
Organization
Address
3644 W State Highway 18, Manila, AR, 72442-0910
Phone Number
870-561-3300
Fax Number
870-561-3307
Provider Enumeration Date
09/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
156106001 05 AR
institution
Provider Business Practice Location Address Details
Address
3644 W State Highway 18
City
Manila
State
Arkansas
Zip
72442-8049
Phone Number
870-561-3300
Fax Number
870-561-3307
person
Provider Business Mailing Address Details
Address
3644 W State Highway 18
City
Manila
State
Arkansas
Zip
72442-8049
Phone Number
870-561-3300
Fax Number
870-561-3307
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A01771 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
E3873 (Arkansas)
Definition
Definition to come...
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