| NPI | 1689005720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAU HIGGINBOTHAM Vice President/COO 410-368-3162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: DC HFD01-0212) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: DC HFD01-0212) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2017-10-09 |