GARY L WAGONER MD P A

CUMBERLAND, MD
NPI1619275617
Entity TypeOrganization
Authorized ContactGARY L WAGONER
Owner
301-777-5326
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  D00822181)
Enumeration Date2011-03-01
Last Update Date2018-09-20
Business Address
GARY L WAGONER MD P A
925 BISHOP WALSH RD SUITE 4
CUMBERLAND, MD 21502-1845
Phone number: 301-777-5326
Mailing Address
GARY L WAGONER MD P A
925 BISHOP WALSH RD SUITE 4
CUMBERLAND, MD 21502-1845
Phone number: 301-777-5326