Individual
MR. PATRICK MICHAEL PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14521 FOREST RD STE D, FOREST, VA 24551-4079
(434) 485-8555
(434) 485-8594
Mailing address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
(434) 485-8599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004352
VA
Other
Enumeration date
11/09/2005
Last updated
10/20/2020
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