Individual
DR. RUSSELL ALAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
64-1032 MAMALAHOA HWY STE 306, KAMUELA, HI 96743-8441
(719) 237-0590
(808) 829-3604
Mailing address
64-1032 MAMALAHOA HWY, STE 306, KAMUELA, HI 96743-8441
(719) 237-0590
(808) 829-3604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOS685
HI
208VP0000X
Pain Medicine Physician
DOS685
HI
Other
Enumeration date
01/09/2007
Last updated
07/21/2022
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