Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Wesley Wagner, MD

Individual provider Pediatric Surgery Physician · NPI 1003532268

Charles Wesley Wagner, MD is a Pediatric Surgery Physician in Little Rock, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12609 Saint Charles Blvd
Little Rock, AR 72211-2227
Phone: (501) 680-0738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence N-7036 (AR)

Record details

NPI number1003532268
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address1 Childrens Way, Little Rock, AR 72202-3500

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