Jack C Wagner
Jack C Wagner is a Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2200 N Classen BlvdOklahoma City, OK 73106-5800
Phone: (405) 760-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1093510810 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 17, 2025 |
| Last updated in NPPES | February 17, 2025 |
| Certification date | February 16, 2025 |
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