Individual
MR. BRIAN M DILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(443) 690-5751
Mailing address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(443) 690-5751
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0005837
MD
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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