Individual
DEREK JOSEPH STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 WISCONSIN AVE, WRNMMC NUCLEAR MEDICINE SERVICE, BETHESDA, MD 20889-0004
(301) 295-4974
Mailing address
5123 ALLAN TER, BETHESDA, MD 20816-1611
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD064308L
PA
207U00000X
Nuclear Medicine Physician
Primary
MD064308L
PA
Other
Enumeration date
07/12/2006
Last updated
08/25/2023
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