Dr. Gary L Wagoner, MDPA
Dr. Gary L Wagoner, MDPA is a Family Medicine Physician in Cumberland, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2005
Practice location Address checks out
925 Bishop Walsh Rd Ste 4Cumberland, MD 21502
Phone: (301) 777-5326
Fax: (301) 777-0325
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence D0022181 (MD) |
|---|
Record details
| NPI number | 1225034853 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDPA |
| Sole proprietor | Yes |
| NPI enumerated | June 28, 2005 |
| Last updated in NPPES | September 18, 2018 |
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