Charles Wesley Wagner, MD | |
12609 Saint Charles Blvd, Little Rock, AR 72211-2227 | |
(501) 680-0738 | |
Not Available |
Full Name | Charles Wesley Wagner |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 12609 Saint Charles Blvd, Little Rock, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003532268 | NPI | - | NPPES |
N-7036 | Other | AR | GENERAL PRACTICE |
N-7036 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | N-7036 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
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Charles Wesley Wagner, MD 1 Childrens Way, Little Rock, AR 72202-3500 Ph: (501) 364-1447 | Charles Wesley Wagner, MD 12609 Saint Charles Blvd, Little Rock, AR 72211-2227 Ph: (501) 680-0738 |
Sandra Minerva Garcia Osogobio, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 520, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Mrs. Elaine Marie Thrash, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000 | |
Oleksiy Gudz, M.D.,PHD Surgery Medicare: Medicare Enrolled Practice Location: 4301 W Markham St # 520-2, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5328 | |
Mrs. Chelsea Nicole Scherz, APRN Surgery Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Jonathan Amarkwei Laryea, MB CHB Surgery Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Slot 520, Little Rock, AR 72205 Phone: 501-686-6648 Fax: 501-686-7280 | |
Dr. Jordan W Greer, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4110 Outpatient Circle, Outpatient Center, Third Floor, Little Rock, AR 72205 Phone: 501-686-6086 Fax: 501-686-5855 |