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Search › Oklahoma › 103K00000X

Miranda Wagner

NPI 1609415819 · on the registry since 2020

Practice

Address
15809 Ne 23rd St
Choctaw, OK 73020
Phone
(405) 281-1040
Organisation at this address
Cary Carpenter, M.D. P.C.
Bruce A. Stafford, Do, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma