Organization
PREMIER ORTHOPEDICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA Z BUSCH (PRACTICE COORDINATOR)
(410) 461-9500
Entity
Organization
Contact information
Practice address
9135 PISCATAWAY RD, SUITE 300, CLINTON, MD 20735-2549
(240) 348-7390
(301) 560-8303
Mailing address
3570 SAINT JOHNS LN, FREDERICK CROSSING, ELLICOTT CITY, MD 21042-4032
(410) 461-9500
(410) 461-8945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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