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Organization
PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization
PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Active
Other names
PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LEA BOATMAN (DIRECTOR OF CREDENTIALING)
(013) 996-8743
Entity
Organization
Contact information
Practice address
14999 HEALTH CENTER DR STE 101, BOWIE, MD 20716-1075
(301) 498-0383
Mailing address
14201 PARK CENTER DR STE 410, LAUREL, MD 20707-5251
(301) 298-5334
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QP1100X
Podiatric Clinic/Center
—
NULL
Other
Enumeration date
07/02/2024
Last updated
07/09/2024
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