David Gordon Wagner, MD

NPI #1326046897 in Rockville, Maryland

Provider Information

NPI Number: 1326046897
Entity Type: Individual
Name: David Gordon Wagner, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jul 8, 2005
Last Updated: Oct 13, 2010

Practice Location

Address: 14955 SHADY GROVE RD
Address 2: SUITE 125
City: Rockville
State: Maryland
ZIP Code: 20850-8700
Phone: (301) 765-1816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Ophthalmology	207W00000X	Primary

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