# C PARKE PODIATRY LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164816971
- **Authorized official:** CONAN ROBERT PARKE D.P.M. (OWNER)
- **Authorized official phone:** (781) 330-2791

## Contact information

- **Practice address:** 2641 BOX CANYON DR STE A, LAS VEGAS, NV 89128-0423
- **Practice address phone:** (702) 243-3668
- **Practice address fax:** (702) 243-3324
- **Mailing address:** 2641 BOX CANYON DR STE A, LAS VEGAS, NV 89128-0423
- **Mailing address phone:** (702) 243-3668
- **Mailing address fax:** (702) 243-3324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 2004 | NV | Yes |

## Other

- **Enumeration date:** 03/19/2015
- **Last updated:** 06/22/2020