Individual
RICHARD PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4318 W OKMULGEE ST, MUSKOGEE, OK 74401-4648
(918) 686-0471
(918) 686-9471
Mailing address
4318 W OKMULGEE ST, MUSKOGEE, OK 74401-4648
(918) 686-0471
(918) 686-9471
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
80545
OK
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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