# PRECISION ORTHOPEDICS AND SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRECISION ORTHOPEDICS AND SPORTS MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215773932
- **Authorized official:** DONNA LEA BOATMAN (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (013) 996-8743

## Contact information

- **Practice address:** 14999 HEALTH CENTER DR STE 101, BOWIE, MD 20716-1075
- **Practice address phone:** (301) 498-0383
- **Mailing address:** 14201 PARK CENTER DR STE 410, LAUREL, MD 20707-5251
- **Mailing address phone:** (301) 298-5334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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