Individual provider · Type 1 NPI

Jason Michael Wagner, MD

Diagnostic Radiology Physician · Oklahoma City, OK

NPI number 1972594471 Active

Practice location

940 NE 13th St, Suite 4G4250
Oklahoma City, OK 73104-5008

Call (405) 271-5125 Map

Fax (405) 271-3462

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X24510 (OK)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1972594471

Jason Michael Wagner, MD's National Provider Identifier is 1972594471, issued on Nov 3, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 24, 2010.