IndividualActive
Charles Wagner, MD
NPI 1003532268 · Pediatric Surgery Physician · Little Rock, AR
Provider details
- NPI number
- 1003532268
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- N-7036 (AR)
Practice location
12609 Saint Charles Blvd
Little Rock, AR 72211-2227
Phone: (501) 680-0738
Mailing address
1 Childrens Way
Little Rock, AR 72202-3500
Registry dates
- Enumerated
- 2022-10-18
- Last updated
- 2022-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.