Organization
BALTIMORE SPINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE MOORE (ADMINISTRATOR)
(410) 828-4789
Entity
Organization
Contact information
Practice address
1300 BELLONA AVE, BUILDING D, LUTHERVILLE, MD 21093-5465
(410) 828-4789
(410) 337-6999
Mailing address
1300 BELLONA AVE, BUILDING D, LUTHERVILLE, MD 21093-5465
(410) 828-4789
(410) 337-6999
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1413
MD
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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