Individual
MARK DONALD PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23000 MOAKLEY ST STE 102, LEONARDTOWN, MD 20650-2916
(301) 475-5555
(301) 475-5914
Mailing address
23000 MOAKLEY ST STE 102, LEONARDTOWN, MD 20650-2916
(301) 475-5555
(301) 475-5914
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D42699
MD
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
D42699
MD
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
L1966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910562
—
AL
05
—
009910563
—
AL
05
—
01471731
—
MS
05
—
144622102
—
TX
01
—
51541964
BCBS - STANTON RD
AL
01
—
51541965
BCBS- MEDICAL PARK DR
AL
Enumeration date
04/20/2006
Last updated
08/12/2021
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