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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RYAN COLT WAGONER, M.D.

Active

RYAN COLT WAGONER, M.D. is a Psychiatry healthcare provider located in TAMPA, Florida. NPI 1952531204 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · TAMPA, FL

Registration Details

NPI Number
1952531204
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2009 (17.039520770341 yrs)
Last Updated
Mar 31, 2021
Licenses
A124075 (CA)
71582 (GA)
MT194511 (PA)
ME119037 (FL)

Practice Information

Address
3515 E FLETCHER AVE
MDC 14
TAMPA, FL, 336134702
Browse FL providers · Browse ZIP 33613
Phone
8139748900
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry

Other Psychiatry Providers in TAMPA, FL

Name Credential NPI
DR. MARY LEE HUTCHESON M.D. 1811992456
DR. MICHAEL F. SHEEHAN M.D. 1528060597
DR. BONNIE RAE SAKS M.D. 1699777284
KRISTOPHER E KALIEBE M.D. 1417940263
MS. VELDA YOLANDA REXACH MD 1861486045
DAVID HAHN MD 1457347817
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.