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70 Thomas Johnson Dr Suite 120 Frederick MD 21702-4361 | |
(301) 662-5190 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 70 Thomas Johnson Dr, Frederick, Maryland |
Authorized Official Name and Position | Brian L Andrew (SECRETARY) |
Authorized Official Contact | 6365342360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 Ph: (636) 534-2360 | 70 Thomas Johnson Dr Suite 120 Frederick MD 21702-4361 Ph: (301) 662-5190 |
NPI Number | 1104030444 |
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Provider Enumeration Date | 05/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1104030444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | 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 |