NPI 1003203068

Jacqueline Durst, ATCLAT

Practitioner Sports Medicine (Emergency Medicine) Physician Frostburg, MD

Practice location

Address: 101 Braddock Rd Frostburg State University Kinesiology Department, Frostburg, MD 21532-2303
Phone: (301) 697-2801
Mailing address: 27 Frost Ave, Frostburg, MD 21532-1623

Registered specialties

Sports Medicine (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PS0010X Licence A00192 (MD)

Other Emergency Medicine providers in Maryland →

Registry record

NPI: 1003203068
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2015
Record last updated: 16 Apr 2015

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.