Individual provider · Type 1 NPI

Diane Brown Wagner, MD

Diagnostic Radiology Physician · Shreveport, LA

NPI number 1336180900 Active

Practice location

1453 E Bert Kouns Loop, Radiology
Shreveport, LA 71105-6800

Call (318) 681-5440 Map

Mailing address

PO Box 9600, Dept 09-038
Texarkana, TX 75505-9600

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD019017 (LA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2 other providers at this address

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About NPI 1336180900

Diane Brown Wagner, MD's National Provider Identifier is 1336180900, issued on Jun 8, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Shreveport, LA. The record was last updated on Feb 2, 2014.