Organization
HORMONE REPLACEMENT CLILNIC
Active
Other names
HRC Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R IVEY (OWNER/OPERATOR)
(410) 595-5363
Entity
Organization
Contact information
Practice address
808 LANDMARK DR, SUITE 116, GLEN BURNIE, MD 21061-4983
(410) 595-5363
(410) 595-5367
Mailing address
808 LANDMARK DR SUITE 116, SUITE 116, GLEN BURNIE, MD 21061
(410) 595-5363
(410) 595-5367
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D005740
MD
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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