Individual provider · Type 1 NPI

Jerad Scott Wagner, PA-C

Physician Assistant · Ardmore, OK

NPI number 1932448347 Active

Practice location

921 14th Ave NW
Ardmore, OK 73401-1837

Call (580) 223-5311 Map

Fax (580) 223-8227

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2197 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1932448347

Jerad Scott Wagner, PA-C's National Provider Identifier is 1932448347, issued on Feb 5, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ardmore, OK. The record was last updated on Jan 27, 2016.