Maryland Provo-I Medical Services, PC

NPI #1013002096 in Baltimore, Maryland

Provider Information

NPI Number: 1013002096
Entity Type: Organization
Organization Name: Maryland Provo-I Medical Services, PC
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 4, 2006
Last Updated: Feb 29, 2008

Practice Location

Address: 900 CATON AVE
City: Baltimore
State: Maryland
ZIP Code: 21229-5201
Phone: (410) 368-2000

Authorized Official

Name: DR. DAVID MEYERS, MD
Title: PRESIDENT
Phone: (214) 712-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Emergency Medicine	207P00000X	Primary

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