RANDALL K WAGMAN MD APMC

WESTLAKE, LA
NPI1396951307
Entity TypeOrganization
Authorized ContactRANDALL WAGMAN
Owner
337-439-1484
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  11202R)
Enumeration Date2007-05-15
Last Update Date2020-08-22
Business Address
RANDALL K WAGMAN MD APMC
2345 SAMPSON ST
WESTLAKE, LA 70669-2711
Phone number: 337-439-1484
Mailing Address
RANDALL K WAGMAN MD APMC
2345 SAMPSON ST
WESTLAKE, LA 70669-2711
Phone number: 337-439-1484