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Organization

MONTGOMERY BRAIN AND SPINE LLC

Active
Other names
Center for Brain and Spine
Organization subpart
No

Provider details

NPI number
Authorized official
APRIL POWELL (CREDENTIALING MANAGER)
(814) 826-0500
Entity
Organization

Contact information

Practice address
1300 SPRING STREET, SUITE 210, SILVER SPRING, MD 20910-3616
(301) 585-7900
(240) 766-8088
Mailing address
PO BOX 1757, BALTIMORE, MD 21203-1757
(301) 585-7900
(240) 766-8088

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0067880
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066767900
DC
05
550603400
MD
Enumeration date
09/14/2011
Last updated
10/24/2025
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