# PARKER PROFESSIONAL SERVICES GROUP LLC

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

## Provider details

- **NPI number:** 1417308230
- **Authorized official:** DAVID WILLIE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (928) 336-7015

## Contact information

- **Practice address:** 1200 W MOHAVE RD, PARKER, AZ 85344-6349
- **Practice address phone:** (928) 669-9201
- **Practice address fax:** (928) 669-7490
- **Mailing address:** 2400 S AVENUE A, YUMA, AZ 85364-7127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2016
- **Last updated:** 06/22/2016