Dr. Stephanie Wilks Perdue
Adolescent Medicine
9811 Mallard Dr Suite 109
Laurel
, Maryland 20708-3143
Dr. Stephanie Wilks Perdue
Adolescent Medicine
9811 Mallard Dr Suite 109
Laurel
, Maryland 20708-3143
(301) 776-6753
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Stephanie Wilks Perdue
- 9811 Mallard Dr Suite 109
- Laurel, MD
- Zip : 20708-3143
- Fax : (301) 776-6753
- Phone : (301) 776-8000
Second Address
- Dr. Stephanie Wilks Perdue
- 9811 Mallard Dr Suite 109
- Laurel, MD
- Zip : 20708-3143
- Fax : (301) 776-6753
- Phone : (301) 776-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | D0073561 | MD |
National Provider Identifier
| NPI | 1073647442 |
|---|---|
| Provider Name | Dr. Stephanie Wilks Perdue |
| First Address | Laurel, MD 20708-3143 |
| Second Address | Laurel, MD 20708-3143 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2007 |
| Last Update Date | 07/06/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 063563400 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.