Organization · Type 2 NPI

Maryland Provo-I Medical Services, PC

Emergency Medicine Physician · Baltimore, MD

NPI number 1013002096 Active

Practice location

900 Caton Ave
Baltimore, MD 21229-5201

Mailing address

1717 Main Street, Suite 5200
Dallas, TX 75201

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XNone listed
Physician Assistant 363A00000XNone listed

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1013002096

Maryland Provo-I Medical Services, PC's National Provider Identifier is 1013002096, issued on Oct 4, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Baltimore, MD. The record was last updated on Feb 29, 2008.