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Organization
RANDALL K WAGMAN MD APMC
Active
Organization
RANDALL K WAGMAN MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL WAGMAN MD (OWNER)
(337) 439-1484
Entity
Organization
Contact information
Practice address
2345 SAMPSON ST, WESTLAKE, LA 70669-2711
(337) 439-1484
(337) 430-0927
Mailing address
2345 SAMPSON ST, WESTLAKE, LA 70669-2711
(337) 439-1484
(337) 430-0927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11202R
LA
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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