Organization
PIONEER MEDICAL CENTER LEADING THE WAY IN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DUNCAN CRNP (OWNER)
(240) 694-8504
Entity
Organization
Contact information
Practice address
3169 BRAVERTON ST STE 102, EDGEWATER, MD 21037-2666
(240) 694-8504
Mailing address
12908 GOLDEN OAK DR, LAUREL, MD 20708-2330
(240) 694-8504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1552589
—
MD
Enumeration date
07/18/2022
Last updated
07/18/2022
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