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

Tommy Wagner III

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326918632

Tommy Wagner III is a Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2025.

Licensed in
AR
In the registry since
2025

Practice location Address checks out

1125 N College Ave
Fayetteville, AR 72703-1908
Phone: (479) 713-8000
Show map & directions

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 (AR)

Record details

NPI number1326918632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address1125 N College Ave, Fayetteville, AR 72703-1908

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