Organization
UNIVERSITY OF MARYLAND
Active
Other names
UNIVERSITY OF MARYLAND SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL CONWAY ATC, EMT-B (ASST. ATHLETIC DIRECTOR)
(301) 314-2663
Entity
Organization
Contact information
Practice address
379 FIELD HOUSE DR, GOSSETT FOOTBALL TEAM HOUSE, COLLEGE PARK, MD 20742-0001
(301) 314-2663
(301) 314-6549
Mailing address
379 FIELD HOUSE DR, GOSSETT FOOTBALL TEAM HOUSE, COLLEGE PARK, MD 20742-0001
(301) 314-2663
(301) 314-6549
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
03/23/2010
Last updated
12/14/2010
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