Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Capital Orthopaedic Speciaslits, Capital Orthopedic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (VICE PRESIDENT)
(443) 481-6415
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD STE B116, BOWIE, MD 20716-3143
(301) 464-5575
Mailing address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3773
(443) 481-1000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
05/24/2021
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