DR. Gary L Wagoner, MD P A
NPI #1225034853 in Cumberland, Maryland
Provider Information
- NPI Number
- 1225034853
- Entity Type
- Individual
- Name
- DR. Gary L Wagoner, MD P A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD P A
- Enumeration Date
- Jun 28, 2005
- Last Updated
- Sep 18, 2018
Practice Location
- Address
- 925 BISHOP WALSH RD
- Address 2
- SUITE 4
- City
- Cumberland
- State
- Maryland
- ZIP Code
- 21502
- Phone
- (301) 777-5326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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