NPI 1164644142

Peter Dexheimer PA

Organisation Preferred Provider Organization Columbia, MD

Practice location

Address: 10840 Little Patuxent Pkwy Suite 203, Columbia, MD 21044-3115
Phone: (410) 531-6550
Fax: (410) 531-6552

Authorised official

Name: Peter Robert Dexheimer
Title: Owner
Phone: (410) 531-6550

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence S01181 (MD)

Other Preferred Provider Organization providers in Maryland →

Registry record

NPI: 1164644142
Entity type: Organization
NPI issued: 2 May 2007
Record last updated: 21 Jul 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.