Organization
MARYLAND SPINE AND SPORTS SURGI-CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK R BRILL M.D. (DIRECTOR)
(443) 535-9900
Entity
Organization
Contact information
Practice address
5005 SIGNAL BELL LN, SUITE 207, CLARKSVILLE, MD 21029-2606
(443) 535-9900
(443) 535-9901
Mailing address
5005 SIGNAL BELL LN, SUITE 207, CLARKSVILLE, MD 21029-2606
(443) 535-9900
(443) 535-9901
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1518
MD
Other
Enumeration date
11/19/2010
Last updated
12/28/2011
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