Go West Medical Dental Services Llc | |
110 Baughmans Ln Suite 140 Frederick MD 21702-4059 | |
(240) 215-1138 | |
(240) 215-1140 |
Full Name | Go West Medical Dental Services Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 110 Baughmans Ln, Frederick, Maryland |
Authorized Official Name and Position | Julio J Menocal (OWNER) |
Authorized Official Contact | 2402151138 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Go West Medical Dental Services Llc Po Box 1149 Frederick MD 21702-0149 Ph: () - | Go West Medical Dental Services Llc 110 Baughmans Ln Suite 140 Frederick MD 21702-4059 Ph: (240) 215-1138 |
NPI Number | 1174817811 |
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Provider Enumeration Date | 05/29/2011 |
Last Update Date | 05/29/2011 |
Identifier | Type | State | Issuer |
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1174817811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | D31912 (Maryland) | Primary |
Hillcrest School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1285 Hillcrest Dr, Frederick, MD 21703 Phone: 240-236-3275 Fax: 240-236-3293 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7407 Willow Rd, Frederick, MD 21702 Phone: 301-624-5270 Fax: 334-625-4520 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9021 Bennett Creek Blvd, Frederick, MD 21704 Phone: 240-346-3549 |