Dr. JACKSON WAGONER MD
Individual Provider (NPI-1)
Active
Anesthesiology, Pain Medicine
Provider Information
- NPI Number
1689137408- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1541 DIAMOND DR, CASPER, WY, 826016247
- Phone
- (307) 439-1097
Specialties & Taxonomies
Anesthesiology, Pain Medicine
License: FL #ME169309
Anesthesiology
License: AZ #69349
Anesthesiology, Pain Medicine
Primary License: WY #19414A
Anesthesiology
License: FL #ME169309