# PREMIER ORTHOPEDICS, P.A.

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

## Provider details

- **NPI number:** 1588051155
- **Authorized official:** MYRA Z BUSCH (PRACTICE COORDINATOR)
- **Authorized official phone:** (410) 461-9500

## Contact information

- **Practice address:** 9135 PISCATAWAY RD, SUITE 300, CLINTON, MD 20735-2549
- **Practice address phone:** (240) 348-7390
- **Practice address fax:** (301) 560-8303
- **Mailing address:** 3570 SAINT JOHNS LN, FREDERICK CROSSING, ELLICOTT CITY, MD 21042-4032
- **Mailing address phone:** (410) 461-9500
- **Mailing address fax:** (410) 461-8945

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2015
- **Last updated:** 04/22/2015