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Organization

BALTIMORE RAVENS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK SMITH (HEAD ATHLETIC TRAINER)
(410) 259-8548
Entity
Organization

Contact information

Practice address
1 WINNING DR, OWINGS MILLS, MD 21117-4776
(410) 259-8548
Mailing address
9200 OWINGS PARK DR, APARTMENT K, OWINGS MILLS, MD 21117-3586
(908) 770-7182

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A0000845
MD

Other

Enumeration date
05/16/2016
Last updated
05/16/2016
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