Search › Arkansas › 207P00000X
Benjamin Wagner, MD
NPI 1700347796 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4301 W Markham St # 584
Little Rock, AR 72205 - Phone
- (501) 686-6996
- Clinicians at this address
- 49
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 390200000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-04
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 Arkansas