David Short, PA-C
Physician Assistant, Surgical in Baltimore, MD. Individual provider (NPI-1).
NPI number1821152307
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1821152307
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Short
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | C0000868 | MD | Yes |
Practice location
201 E University PkwyBaltimore, MD 21218-2829
Phone 410-554-2000
Mailing address
5914 Linthicum LnLinthicum, MD 21090-2019
Phone 410-850-5164
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