TIMOTHY ALLEN WAGNER

BROKEN ARROW, OK
NPI1881644292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: OK  3225)
Enumeration Date2006-05-10
Last Update Date2014-07-10
Business Address
-- TIMOTHY ALLEN WAGNER D.C.
2016 W. HOUSTON
BROKEN ARROW, OK 74012
Phone number: 918-742-2094
Mailing Address
-- TIMOTHY ALLEN WAGNER D.C.
2016 W. HOUSTON
BROKEN ARROW, OK 74012
Phone number: 918-742-2094