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Physicians Surgery Plastic and Reconstructive Surgery

Provider NPI: 1982635074

Organization Information:
Organization Name:  BRENT C. BIRELY, M.D., P.A.
Organization is not Subpart
Authorized Official:  BRENT C. BIRELY  PRESIDENT  410-828-9570

Practice Location:
Tel: 410-828-9570  Fax: 410-583-9120

Business Mailing Address:
Tel: 410-828-9570  Fax: 410-583-9120

NPI Information:
NPI: 1982635074
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Plastic and Reconstructive Surgery

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2086S0122X





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