Individual
MR. DANIEL T PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(916) 668-2600
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
A109546
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A109546
CA
Other
Enumeration date
05/01/2008
Last updated
02/15/2018
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