Randall K Wagman MD Apmc

NPI #1396951307 in Westlake, Louisiana

Provider Information

NPI Number: 1396951307
Entity Type: Organization
Organization Name: Randall K Wagman MD Apmc
Primary Specialty: Family Medicine
Enumeration Date: May 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2345 SAMPSON ST
City: Westlake
State: Louisiana
ZIP Code: 70669-2711
Phone: (337) 439-1484

Authorized Official

Name: RANDALL WAGMAN, MD
Title: OWNER
Phone: (337) 439-1484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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