NPI 1013002096

Maryland Provo-I Medical Services, PC

Organisation Emergency Medicine Physician Baltimore, MD

Practice location

Address: 900 Caton Ave, Baltimore, MD 21229-5201
Phone: (410) 368-2000
Mailing address: 1717 Main Street Suite 5200, Dallas, TX 75201

Authorised official

Name: David Meyers
Title: President
Phone: (214) 712-2000

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Maryland →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Maryland →

Registry record

NPI: 1013002096
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 29 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.