Dr GARY L WAGONER is a male medical professional, specializing in Family Medicine. He graduated in 1975 from West Virginia University School Of Medicine.
925 BISHOP WALSH RD
CUMBERLAND
MD
215021845
Tel:
| Npi | 1225034853 |
| Pac Id | 1557542834 |
| Professional Enrollment Id | I20110218000779 |
| Last Name | WAGONER |
| First Name | GARY |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | |
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| Line 1 Street Address | 925 BISHOP WALSH RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 215021845 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 210027 |
| Hospital Affiliation Lbn 1 | WESTERN MARYLAND REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 511311 |
| Hospital Affiliation Lbn 2 | HAMPSHIRE MEMORIAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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