MEDICARE: DR. ADAM LAUGHLIN SPERDUTO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207NS0135X	Procedural Dermatology Physician	MD.34098	AL

General Provider Information

NPI Number	:	1740579036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM LAUGHLIN SPERDUTO M.D.

Provider Business Mailing Address
First Line	:	2000 STONEGATE TRL STE 112
Second Line	:
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2237
Country	:	US
Telephone Number	:	205-977-9876
Fax Number	:	205-977-9976

Provider Business Practice Location Address
First Line	:	2000 STONEGATE TRL STE 112
Second Line	:
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2237
Country	:	US
Telephone Number	:	205-977-9876
Fax Number	:	205-977-9976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2011
Last Update Date	:	05/20/2015

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Directions to “ DR. ADAM LAUGHLIN SPERDUTO M.D.” Practice Location

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