NPI 1053088005
Blair Wagner
Practice location
- Address
- 1501 Magnolia St # B, Slidell, LA 70460-8821
- Phone
- (504) 400-3896
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1053088005
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Aug 2021
- Record last updated
- 26 Aug 2021
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.