DIANE BROWN WAGNER

SHREVEPORT, LA
NPI1336180900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: LA  MD019017)
Enumeration Date2006-06-08
Last Update Date2014-02-02
Business Address
-- DIANE BROWN WAGNER MD
1453 E BERT KOUNS LOOP RADIOLOGY
SHREVEPORT, LA 71105-6800
Phone number: 318-681-5440
Mailing Address
-- DIANE BROWN WAGNER MD
PO BOX 9600 DEPT 09-038
TEXARKANA, TX 75505-9600
Phone number: 918-622-0436
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