Individual
DR. STEPHANIE GARRETT SOUKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18109 PRINCE PHILIP DR, SUITE 375, OLNEY, MD 20832-1519
(301) 774-5800
Mailing address
18109 PRINCE PHILIP DR, SUITE 375, OLNEY, MD 20832-1519
(301) 774-5800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P27656
MD
Other
Enumeration date
05/23/2012
Last updated
06/23/2016
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