Peter Dexheimer PA

NPI #1164644142 in Columbia, Maryland

Provider Information

NPI Number: 1164644142
Entity Type: Organization
Organization Name: Peter Dexheimer PA
Primary Specialty: Preferred Provider Organization
Enumeration Date: May 2, 2007
Last Updated: Jul 21, 2008

Practice Location

Address: 10840 LITTLE PATUXENT PKWY
Address 2: SUITE 203
City: Columbia
State: Maryland
ZIP Code: 21044-3115
Phone: (410) 531-6550

Authorized Official

Name: MR. PETER ROBERT DEXHEIMER, DC
Title: OWNER
Phone: (410) 531-6550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preferred Provider Organization	305R00000X	Primary

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