Organization
PREMIERE SPINE AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER DAVID CLARK MD (OWNER/PHYSICIAN)
(252) 295-8685
Entity
Organization
Contact information
Practice address
13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2741
(301) 800-7770
Mailing address
13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3720
(301) 800-7770
(301) 800-7891
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
659938900
—
MD
Enumeration date
06/15/2017
Last updated
11/21/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us