DR. Stephanie Garrett Soukup, M.D.

NPI #1477813467 in Olney, Maryland

Provider Information

NPI Number: 1477813467
Entity Type: Individual
Name: DR. Stephanie Garrett Soukup, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: May 23, 2012
Last Updated: Jun 23, 2016

Practice Location

Address: 18109 PRINCE PHILIP DR
Address 2: SUITE 375
City: Olney
State: Maryland
ZIP Code: 20832-1519
Phone: (301) 774-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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