Organization · Type 2 NPI
Potomac Healthcare Alliance
Pain Clinic/Center · Frederick, MD
NPI number
1164775979
Active
Practice location
198 Thomas Johnson Dr Ste 5
Frederick, MD 21702-4449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Clinic/Center Primary | 261QP3300X | 10554640 (MD) |
Pain Clinic/Center: Definition to come...
Other pain clinic/center providers in Frederick
About NPI 1164775979
Potomac Healthcare Alliance's National Provider Identifier is 1164775979, issued on Oct 17, 2012. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Frederick, MD. The record was last updated on Oct 17, 2012.