Individual
JONATHAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(301) 698-8374
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/19/2021
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