person
Dr. Gary L Wagoner, MDPA
Family Medicine Physician in Cumberland, Maryland
NPI 1225034853

Gary L Wagoner is a Family Medicine Physician based in Cumberland, MD. Gary L Wagoner practices in Cumberland, MD and has the professional credentials of MDPA. The NPI Number for Gary L Wagoner is 1225034853 and holds a License No. D0022181 (Maryland).

The current practice location address for Gary L Wagoner is 925 Bishop Walsh Rd, Cumberland, MD and can be reached out via phone at 301-777-5326 and via fax at 301-777-0325.

Location: 925 Bishop Walsh Rd, Cumberland, MD, 21502-1845
person
Provider Profile Details
NPI Number
1225034853
Provider Name
Gary L Wagoner
Credential
MDPA
Provider Entity Type
Individual
Gender
Male
Address
925 Bishop Walsh Rd, Cumberland, MD, 21502-1845
Phone Number
301-777-5326
Fax Number
301-777-0325
Provider Enumeration Date
06/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
189121900 05 MD
218706 01 MD UNITED HEALTH CARE
P11723 01 MD BLUE SHIELD POS
8814GL 01 MD CAREFIRST BS
W0230001 01 MD FEDERAL BS
104012109 01 MD CIGNA
408113495 01 MD R.R. MEDICARE
institution
Provider Business Practice Location Address Details
Address
925 Bishop Walsh Rd
City
State
Zip
21502
Phone Number
301-777-5326
Fax Number
301-777-0325
person
Provider Business Mailing Address Details
Address
925 Bishop Walsh Rd
City
State
Zip
21502
Phone Number
301-777-5326
Fax Number
301-777-0325
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
D0022181 (Maryland)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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