Provider Demographics
NPI:1730196437
Name:PERDUE, RONALD W (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:W
Last Name:PERDUE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3632 DAUPHIN ST
Mailing Address - Street 2:101-B
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1247
Mailing Address - Country:US
Mailing Address - Phone:251-460-5280
Mailing Address - Fax:251-460-5339
Practice Address - Street 1:535 SCHILLINGER RD S
Practice Address - Street 2:STE A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-8915
Practice Address - Country:US
Practice Address - Phone:251-544-6611
Practice Address - Fax:251-544-6619
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2013-10-16
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Provider Licenses
StateLicense IDTaxonomies
AL00014262207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C72690Medicare UPIN
AL510080246Medicare PIN