person
Diane Brown Wagner, MD
Diagnostic Radiology Physician in Shreveport, Louisiana
NPI 1336180900

Diane Brown Wagner is a Diagnostic Radiology Physician based in Texarkana, LA and is specialized in Diagnostic Radiology. Diane Brown Wagner practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Diane Brown Wagner is 1336180900 and holds a License No. MD019017 (Louisiana).

The current practice location address for Diane Brown Wagner is 1453 E Bert Kouns Loop, Shreveport, LA and can be reached out via phone at 318-681-5440. You can also correspond with Diane Brown Wagner through the mailing address at PO BOX 9600, TEXARKANA, TX - 75505-9600 (mailing address contact number: 918-622-0436).

Location: 1453 E Bert Kouns Loop, Shreveport, LA, 75505-9600
person
Provider Profile Details
NPI Number
1336180900
Provider Name
Diane Brown Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1453 E Bert Kouns Loop, Shreveport, LA, 75505-9600
Phone Number
318-681-5440
Fax Number
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1990990 05 LA
institution
Provider Business Practice Location Address Details
Address
1453 E Bert Kouns Loop
City
State
Zip
71105-6800
Phone Number
318-681-5440
Fax Number
person
Provider Business Mailing Address Details
Address
1453 E Bert Kouns Loop
City
State
Zip
71105-6800
Phone Number
318-681-5440
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD019017 (Louisiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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