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Individual

DR. ADAM MAXWELL PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12255 DEPAUL DRIVE SUITE 500, BRIDGETON, MO 63044
(314) 209-5180
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2551

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2016015321
MO
390200000X
Student in an Organized Health Care Education/Training Program
2011018542
MO

Other

Enumeration date
07/11/2011
Last updated
10/26/2020
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