Organization
MEDSTAR HEALTH ANESTHESIA SERVICES D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC R. WAGNER (PRESIDENT)
(410) 772-6595
Entity
Organization
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(410) 554-2000
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(404) 895-2836
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
07/29/2008
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