# HUNT VALLEY URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194005512
- **Authorized official:** DR. RONALD LEE BROADWATER SR. M.D. (DOCTOR)
- **Authorized official phone:** (410) 628-2140

## Contact information

- **Practice address:** 10 WARREN RD, SUITE 110, COCKEYSVILLE, MD 21030-2506
- **Practice address phone:** (410) 628-2140
- **Practice address fax:** (410) 667-4703
- **Mailing address:** 10 WARREN RD, SUITE 110, COCKEYSVILLE, MD 21030-2506
- **Mailing address phone:** (410) 628-2140
- **Mailing address fax:** (410) 667-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | D15200 | MD | Yes |

## Other

- **Enumeration date:** 08/17/2011
- **Last updated:** 08/17/2011