| Structural Elements | |
|
13214 Fountain Head Plz Hagerstown MD 21742-2678 | |
| (301) 766-9293 | |
| Not Available |
| Full Name | Structural Elements |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 13214 Fountain Head Plz, Hagerstown, Maryland |
| Authorized Official Name and Position | Susan Glosby (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 3017669293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Structural Elements 13214 Fountain Head Plz Hagerstown MD 21742-2678 Ph: (301) 766-9293 | Structural Elements 13214 Fountain Head Plz Hagerstown MD 21742-2678 Ph: (301) 766-9293 |
| NPI Number | 1073490264 |
|---|---|
| Provider Enumeration Date | 08/19/2025 |
| Last Update Date | 08/19/2025 |
| Certification Date | 08/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073490264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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