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Individual
CHARLES J PARKER
Active
Individual
CHARLES J PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
173510-1205
UT
207RH0000X
Hematology (Internal Medicine) Physician
Primary
173510-1205
UT
207RH0003X
Hematology & Oncology Physician
173510-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003038700
—
ID
05
—
100505612
—
NV
05
—
122435200
—
WY
01
—
231906
ALTIUS #
—
01
—
81912
PEHP #
—
01
—
879789
UNIVERSITY HEALTH PLANS #
—
01
—
887304
DMBA #
—
05
—
D5987
—
UT
Enumeration date
05/11/2006
Last updated
11/10/2021
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