MARYLAND PROVO-I MEDICAL SERVICES, PC

BALTIMORE, MD
NPI1013002096
Entity TypeOrganization
Authorized ContactDAVID MEYERS
President
214-712-2000
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2006-10-04
Last Update Date2008-02-29
Business Address
MARYLAND PROVO-I MEDICAL SERVICES, PC
900 CATON AVE
BALTIMORE, MD 21229-5201
Phone number: 410-368-2000
Mailing Address
MARYLAND PROVO-I MEDICAL SERVICES, PC
1717 MAIN STREET SUITE 5200
DALLAS, TX 75201
Phone number: 214-712-2000