DAVID GORDON WAGNER

ROCKVILLE, MD
NPI1326046897
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207W00000X Ophthalmology
(Licence: MD  D0051588)
Additional Taxonomies174400000X Specialist
(Licence: MD  D0051588)
207W00000X Ophthalmology
(Licence: DC  MD20367)
207W00000X Ophthalmology
(Licence: VA  0101053417)
207W00000X Ophthalmology
(Licence: CA  G64967)
Enumeration Date2005-07-08
Last Update Date2010-10-13
Business Address
-- DAVID GORDON WAGNER MD
14955 SHADY GROVE RD SUITE 125
ROCKVILLE, MD 20850-8700
Phone number: 301-765-1816
Mailing Address
-- DAVID GORDON WAGNER MD
14955 SHADY GROVE RD SUITE 125
ROCKVILLE, MD 20850-8700
Phone number: 301-765-1816