NPI | 1265115562 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN MULL Owner 410-651-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
208D00000X General Practice | |
261QR1300X Clinic/Center, Rural Health | |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2023-08-11 |
Last Update Date | 2024-07-01 |