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Individual
BROC D PARKER
Active
Individual
BROC D PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13846482-1204
UT
207Q00000X
Family Medicine Physician
2015026063
MO
2083A0100X
Aerospace Medicine Physician
2015026063
MO
Other
Enumeration date
05/21/2014
Last updated
05/14/2024
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