Individual provider · Type 1 NPI

Brice Wagner, PA-C

Medical Physician Assistant · Covington, LA

NPI number 1568037232 Active

Practice location

20 Starbrush Cir
Covington, LA 70433-7208

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1568037232

Brice Wagner, PA-C's National Provider Identifier is 1568037232, issued on May 25, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Covington, LA. The record was last updated on May 25, 2021.