Organization
PREMIER ORTHOPEDICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA BUSCH (PRACTICE GROUP COORDINATOR)
(410) 461-9500
Entity
Organization
Contact information
Practice address
545 MAIN ST, SUITE 217, LAUREL, MD 20707-4351
(301) 776-2000
(301) 776-2806
Mailing address
3570 SAINT JOHNS LN, ELLICOTT CITY, MD 21042-4020
(410) 461-9500
(410) 461-8945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
04/22/2015
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