Organization
PREMIERE SPINE AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PEIFFER (OFFICE MANAGER)
(301) 800-7770
Entity
Organization
Contact information
Practice address
13114 PENNSYLVANIA AVENUE, WING B, HAGERSTOWN, MD 21742-8901
(301) 800-7770
Mailing address
13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3720
(301) 800-7770
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
06/20/2024
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