Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM STOTT (ADMINISTRATIVE MANAGER)
(610) 359-5664
Entity
Organization
Contact information
Practice address
200 E STATE ST, STE 108, MEDIA, PA 19063-3434
(610) 566-4532
Mailing address
PO BOX 5228, WEST CHESTER, PA 19380-0405
(610) 359-5671
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
07/27/2022
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