NPI 1033320577

John Wagner, MD

Practitioner Child & Adolescent Psychiatry Physician Shreveport, LA

Practice location

Address: 7330 Fern Ave STE 704, Shreveport, LA 71105-4985
Phone: (318) 798-8261
Fax: (316) 798-8263

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence MD.201230 (LA)

Other Psychiatry & Neurology providers in Louisiana →

Registry record

NPI: 1033320577
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2007
Record last updated: 22 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.