Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE BROWN WAGNER, MD
ActiveDIANE BROWN WAGNER, MD is a Diagnostic Radiology healthcare provider located in SHREVEPORT, Louisiana. NPI 1336180900 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · SHREVEPORT, LA
Registration Details
- NPI Number
- 1336180900
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2006 (20.227206320183 yrs)
- Last Updated
- Feb 2, 2014
- License
-
MD019017 (LA)
Practice Information
- Address
-
1453 E BERT KOUNS LOOPRADIOLOGYSHREVEPORT, LA, 711056800Browse LA providers · Browse ZIP 71105
- Phone
- 3186815440
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. GINA LYNNE WILSON | MD | 1215908496 |
| CORNELIUS BOS | MD | 1821069378 |
| BRENT BOUDREAUX | MD | 1467423913 |
| DANIEL BRUCE HENNIGAN | MD | 1528039948 |
| ANDREW MARSALA | MD | 1700858164 |
| WAYNE HOMZA | MD | 1083685424 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.