T W WAGNER INC
Nursing in Manila, AR

License number
Arkansas E3873
Category
Osteopathic Medicine
Type
Family Medicine
License number
Arkansas A01771
Category
Nursing
Type
Family
Owner
Name: TOMMY W WAGNER JR. MD
Title: OWNER
Phone: (870) 561-3300
Address
Address
3644 W State Hwy, Manila, AR 72442
National Provider ID: 1720183031
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about T W WAGNER INC at bizstanding.com

T. W. WAGNER, INC

790 Wagner Dr, Manila, AR 72442

Registration:
May 12, 2004
State ID:
800033792
Business type:
For Profit Corporation
Presidents:
Tommy Wayne Wagner (Incorporator/Organizer),Marcie Skelton- Mask (Tax Preparer),Tommy W Wagner (President)
Filled under act:
Dom Bus Corp; 958 of 1987

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