person
Dylan Paul Wagner, PA
Medical Physician Assistant in Laurel, Mississippi
NPI 1992058556

Dylan Paul Wagner is a Medical Physician Assistant based in Hattiesburg, MS and is specialized in Medical. Dylan Paul Wagner practices in Laurel, MS and has the professional credentials of PA. The NPI Number for Dylan Paul Wagner is 1992058556 and holds a License No. 00172 (Mississippi).

The current practice location address for Dylan Paul Wagner is 2313 Highway 15 N, Laurel, MS and can be reached out via phone at 601-649-2775 and via fax at 601-649-2686. You can also correspond with Dylan Paul Wagner through the mailing address at 415 S 28TH AVE, HATTIESBURG, MS - 39401-7246 (mailing address contact number: 601-649-2775).

Location: 2313 Highway 15 N, Laurel, MS, 39401-7246
person
Provider Profile Details
NPI Number
1992058556
Provider Name
Dylan Paul Wagner
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2313 Highway 15 N, Laurel, MS, 39401-7246
Phone Number
601-649-2775
Fax Number
601-649-2686
Provider Enumeration Date
10/19/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5874982 01 MS CIGNA
05153323 05 MS
9469937 01 MS AETNA
3528936 01 MS UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
2313 Highway 15 N
City
State
Zip
39440-1805
Phone Number
601-649-2775
Fax Number
601-649-2686
person
Provider Business Mailing Address Details
Address
2313 Highway 15 N
City
State
Zip
39440-1805
Phone Number
601-649-2775
Fax Number
601-649-2686
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
00172 (Mississippi)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.