Organization · Type 2 NPI
T W Wagner Inc
Rural Health Clinic/Center · Lepanto, AR
NPI number
1114734969
Active
Practice location
730 Greenwood Ave
Lepanto, AR 72354-3215
Mailing address
PO Box 910
Manila, AR 72442-0910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
2 other providers at this address
Other rural health clinic/center providers in Lepanto
About NPI 1114734969
T W Wagner Inc's National Provider Identifier is 1114734969, issued on Dec 16, 2024. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lepanto, AR. The record was last updated on Dec 19, 2024.