Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | D0031302 | MD |
NPI | 1184744526 |
---|---|
Provider Name | Marilyn D Mcpherson Corder |
First Address | Washington, DC 20011-3613 |
Second Address | Washington, DC 20011-3613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |