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Organization

MAC ANESTHESIA ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAGDY A BAGOUS MD (GROUP PRESIDENT/OWNER)
(540) 327-9067
Entity
Organization

Contact information

Practice address
473 MOON RIDGE LN, WINCHESTER, VA 22603-3584
(540) 327-9067
(540) 667-9171
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
11/20/2012
Last updated
11/20/2012
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