Individual
MR. DAVID SHORT
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
(410) 554-2000
Mailing address
5914 LINTHICUM LN, LINTHICUM, MD 21090-2019
(410) 850-5164
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0000868
MD
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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