Individual provider · Type 1 NPI

Charles Wesley Wagner, MD

Pediatric Surgery Physician · Little Rock, AR

NPI number 1003532268 Active

Practice location

12609 Saint Charles Blvd
Little Rock, AR 72211-2227

Call (501) 680-0738 Map

Mailing address

1 Childrens Way
Little Rock, AR 72202-3500

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XN-7036 (AR)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1003532268

Charles Wesley Wagner, MD's National Provider Identifier is 1003532268, issued on Oct 18, 2022. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Little Rock, AR. The record was last updated on Oct 18, 2022.