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Organization
PREMIER ORTHOPEDICS, P.A.
Active
Organization
PREMIER ORTHOPEDICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA BUSCH (PRACTICE COORDINATOR)
(410) 461-9500
Entity
Organization
Contact information
Practice address
3570 SAINT JOHNS LN, FREDERICK CROSSING, ELLICOTT CITY, MD 21042-4020
(410) 461-9500
(410) 461-8945
Mailing address
3570 SAINT JOHNS LN, FREDERICK CROSSING, ELLICOTT CITY, MD 21042-4020
(410) 461-9500
(410) 461-8945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
04/22/2015
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