BRICE WAGNER

COVINGTON, LA
NPI1568037232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2021-05-25
Last Update Date2021-05-25
Business Address
Mr. BRICE WAGNER PA-C
20 STARBRUSH CIR
COVINGTON, LA 70433-7208
Phone number: 985-231-5713
Mailing Address
Mr. BRICE WAGNER PA-C
20 STARBRUSH CIR
COVINGTON, LA 70433-7208
Phone number:
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