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JERAD WAGNER, PA-C
PA-C
Physician Assistant
NPI: 1932448347IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
2197(OK)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Class of 2012
Contact & Hours
- Address
- 921 14TH AVE NW
ARDMORE, OK 73401 - Phone
- (580) 223-5311
Quick Facts
- NPI
- 1932448347
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 14
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