# UNIVERSITY OF MARYLAND ATHLETICS-COLLEGE PARK

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

## Provider details

- **NPI number:** 1245609494
- **Authorized official:** MR. STEVE NORDWALL (DIRECTOR OF SPORTS MEDICINE)
- **Authorized official phone:** (301) 314-2663

## Contact information

- **Practice address:** 379 FIELD HOUSE DR, COLLEGE PARK, MD 20742-0001
- **Practice address phone:** (301) 314-2663
- **Practice address fax:** (301) 314-6549
- **Mailing address:** 379 FIELD HOUSE DR, COLLEGE PARK, MD 20742-0001
- **Mailing address phone:** (301) 314-2663
- **Mailing address fax:** (301) 314-6549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | D0050588 | MD | Yes |

## Other

- **Enumeration date:** 09/17/2015
- **Last updated:** 09/17/2015