| Glade Valley Family Practice | |
|
15 E Frederick St Walkersville MD 21793-8234 | |
| (301) 898-5200 | |
| (301) 898-5230 |
| Full Name | Glade Valley Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 15 E Frederick St, Walkersville, Maryland |
| Authorized Official Name and Position | John A Shutta (PRESIDENT) |
| Authorized Official Contact | 3018985200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glade Valley Family Practice 15 E Frederick St Po Box 310 Walkersville MD 21793-8234 Ph: (301) 898-5200 | Glade Valley Family Practice 15 E Frederick St Walkersville MD 21793-8234 Ph: (301) 898-5200 |
| NPI Number | 1114923729 |
|---|---|
| Provider Enumeration Date | 06/28/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114923729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Maryland) | Primary |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W Frederick St, Walkersville, MD 21793 Phone: 301-845-6336 |