Organization
MARK OB PEELER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PEELER MD (OWNER)
(410) 216-6452
Entity
Organization
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 520, ANNAPOLIS, MD 21401-3046
(410) 266-1188
(410) 266-9466
Mailing address
PO BOX 64323, BALTIMORE, MD 21264-4323
(410) 216-6479
(410) 280-6515
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150AMA
BCBS
—
05
—
403066400
—
MD
01
—
J212
BCBS
—
Enumeration date
03/09/2006
Last updated
05/23/2008
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