Individual
DR. NATHAN S WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4608 W WALNUT ST STE A, ROGERS, AR 72756-1404
(479) 899-6658
(479) 899-6685
Mailing address
3105 NE 11TH ST, STE 3, BENTONVILLE, AR 72712-9127
(479) 899-6658
(479) 899-6685
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15713
AR
Other
Enumeration date
01/28/2010
Last updated
03/19/2018
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