Premier Pediatrics, LLC

NPI #1124449491 in Glen Burnie, Maryland

Provider Information

NPI Number: 1124449491
Entity Type: Organization
Organization Name: Premier Pediatrics, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jan 3, 2014
Last Updated: Jan 3, 2014

Practice Location

Address: 7310 RITCHIE HWY
Address 2: SUITE 516
City: Glen Burnie
State: Maryland
ZIP Code: 21061
Phone: (410) 761-7305

Authorized Official

Name: SHANNON LANE WEST, M.D.
Title: PRESIDENT
Phone: (410) 761-7305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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