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NPI Profile for Dr JACKSON WAGONER in CASPER, WY.
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Anesthesiology |
207L00000X | 79 | Physician/Addiction Medicine |
| NPI Number | 1689137408 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 04/09/2019 | |
| Last updated | 04/08/2026 - About 2 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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JACKSON WAGONER
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JACKSON WAGONER, MD