Jerad Scott Wagner is a Physician Assistant based in Ardmore, OK. Jerad Scott Wagner practices in Ardmore, OK and has the professional credentials of PA-C. The NPI Number for Jerad Scott Wagner is 1932448347 and holds a License No. 2197 (Oklahoma).
The current practice location address for Jerad Scott Wagner is 921 14Th Ave Nw, Ardmore, OK and can be reached out via phone at 580-223-5311 and via fax at 580-223-8227.
Identifier | Type | State | Issuer |
---|---|---|---|
2197 | 01 | OK | PHYSICIAN ASSISTANT LICENSE |
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