Individual provider · Type 1 NPI
Stephanie Wilks Perdue, MD
Pediatric Adolescent Medicine Physician · Laurel, MD
NPI number
1073647442
Active
Practice location
9811 Mallard Dr, Suite 109
Laurel, MD 20708-3143
Fax (301) 776-6753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | D0073561 (MD) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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About NPI 1073647442
Stephanie Wilks Perdue, MD's National Provider Identifier is 1073647442, issued on Mar 15, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Laurel, MD. The record was last updated on Jun 7, 2013.