Phs Multispecialty Services

NPI #1134598394 in Bowie, Maryland

Provider Information

NPI Number: 1134598394
Entity Type: Organization
Organization Name: Phs Multispecialty Services
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE HOSPITAL
Primary Specialty: Surgery
Enumeration Date: Sep 17, 2015
Last Updated: Oct 9, 2017

Practice Location

Address: 14300 GALLANT FOX LN
Address 2: SUITE 224
City: Bowie
State: Maryland
ZIP Code: 20715-4003
Phone: (301) 262-8291

Authorized Official

Name: BEAU HIGGINBOTHAM
Title: VICE PRESIDENT/COO
Phone: (410) 368-3162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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