Individual
WILLIAM GLYN WAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
Mailing address
3810 CENTRAL AVE STE H, HOT SPRINGS, AR 71913-6921
(501) 525-5840
(501) 525-1762
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2026-02269
NC
207L00000X
Anesthesiology Physician
Primary
C5842
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111244001
—
AR
Enumeration date
07/28/2006
Last updated
04/23/2026
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