Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DYLAN PAUL WAGNER, PA
ActiveDYLAN PAUL WAGNER, PA is a Medical Physician Assistant healthcare provider located in LAUREL, Mississippi. NPI 1992058556 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LAUREL, MS
Registration Details
- NPI Number
- 1992058556
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2012 (13.781012722667 yrs)
- Last Updated
- Jul 23, 2020
- License
-
00172 (MS)
Practice Information
- Address
-
2313 HIGHWAY 15 NLAUREL, MS, 394401805Browse MS providers · Browse ZIP 39440
- Phone
- 6016492775
- Fax
- 6016492686
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in LAUREL, MS
| Name | Credential | NPI |
|---|---|---|
| MR. ALAN BRYSON | PA | 1740675487 |
| MRS. TIFFANY EDWARDS KEITH | MHS, PA-C | 1720441355 |
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.