Dylan Wagner, PA

Individual Active
NPI 1992058556
Medical Physician Assistant Laurel, MS

Dylan Wagner, PA holds NPI 1992058556, with a primary taxonomy of medical physician assistant and a practice location in Laurel, MS. The number was issued on October 19, 2012 and the NPPES record was last updated on July 23, 2020.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 00172 (MS)

Practice location

2313 Highway 15 N
Laurel, MS 39440-1805
Phone: (601) 649-2775

Local context

Active NPPES records list 3 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 80 in Mississippi and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dylan Paul Wagner
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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