NPI 1003532268

Charles Wesley Wagner, MD

Practitioner Pediatric Surgery Physician Little Rock, AR

Practice location

Address: 12609 Saint Charles Blvd, Little Rock, AR 72211-2227
Phone: (501) 680-0738
Mailing address: 1 Childrens Way, Little Rock, AR 72202-3500

Registered specialties

Pediatric Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0120X Licence N-7036 (AR)

Other Surgery providers in Arkansas →

Registry record

NPI: 1003532268
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2022
Record last updated: 18 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.