| Wagner Medical Clinic | |
|
331 Broad Street Suite B Lepanto AR 72354 | |
| (870) 475-3825 | |
| (870) 475-3823 |
| Full Name | Wagner Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 331 Broad Street, Lepanto, Arkansas |
| Authorized Official Name and Position | Tommy W Wagner (OWNER) |
| Authorized Official Contact | 8705613300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagner Medical Clinic 331 Broad Street Suite B Lepanto AR 72354 Ph: (870) 475-3825 | Wagner Medical Clinic 331 Broad Street Suite B Lepanto AR 72354 Ph: (870) 475-3825 |
| NPI Number | 1316041957 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316041957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 West Broad Street, Lepanto, AR 72354 Phone: 870-475-3180 Fax: 870-475-3185 | |
East Arkansas Family Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 West Broad, Lepanto, AR 72354 Phone: 870-475-2977 Fax: 870-475-3440 |