Eucentrics Urgent Care And Wellness Center
Physician Assistant, Medical in Frederick, MD. Organization (NPI-2).
NPI number1124423637
StatusActive
Last updated in NPPESNov 10, 2014
Details
- NPI
- 1124423637
- Entity type
- Organization (NPI-2)
- Legal business name
- Eucentrics Urgent Care And Wellness Center
- Organization subpart
- No
- Enumeration date
- Oct 27, 2014
- Last updated
- Nov 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | C04452 | MD | Yes |
| 171100000X | Acupuncturist | U0213 | MD |
Practice location
1100 W Patrick St Ste HFrederick, MD 21703-3974
Phone 301-662-6478
Mailing address
1100 W Patrick St Ste HFrederick, MD 21703-3974
Phone 301-662-6478
Authorized official
Randyl Erik Gessel
President
3016626478
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