Graduated: 2024
NPI: 1790523447
Practice Locations (2)
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
3001 APACHE DR, SUITE B
JONESBORO, AR 724017447
8709368000
T W WAGNER INC
3644 W HWY 18, WAGNER MEDICAL CLINIC
MANILA, AR 72442
8705613300
Source: CMS National Downloadable File, September 2026.