MATTHEW WAGNER

MAUMELLE, AR
NPI1790166445
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AR  E-11361)
Enumeration Date2015-06-17
Last Update Date2018-09-04
Business Address
MATTHEW WAGNER M.D.
1701 CLUB MANOR DR STE 2B
MAUMELLE, AR 72113
Phone number: 501-812-7216
Mailing Address
MATTHEW WAGNER M.D.
1701 CLUB MANOR DR STE 2B
MAUMELLE, AR 72113-7401
Phone number: 501-812-7216
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