Individual
DR. WAGDY A BAGOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
473 MOON RIDGE LN, WINCHESTER, VA 22603-3584
(540) 327-9067
(540) 667-9171
Mailing address
473 MOON RIDGE LN, WINCHESTER, VA 22603-3584
(540) 327-9067
(540) 667-9171
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101233959
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010012660
—
VA
Enumeration date
11/14/2005
Last updated
11/05/2012
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