Dr John Harvey Wagoner, MD, PHD, MBA | |
133 Old Solomons Island Road, Bayshore Counseling And Psychological Services, Llc, Annapolis, MD 21401 | |
(410) 266-9747 | |
(410) 266-9749 |
Full Name | Dr John Harvey Wagoner |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 133 Old Solomons Island Road, Annapolis, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245393529 | NPI | - | NPPES |
54297601 | Other | MD | BCBS OF MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 03283 (Maryland) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | D48079 (Maryland) | Primary |
Mailing Address | Practice Location Address |
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Dr John Harvey Wagoner, MD, PHD, MBA 133 Old Solomons Island Road, Annapolis, MD 21401 Ph: (410) 266-9747 | Dr John Harvey Wagoner, MD, PHD, MBA 133 Old Solomons Island Road, Bayshore Counseling And Psychological Services, Llc, Annapolis, MD 21401 Ph: (410) 266-9747 |