Individual
DR. COLLEEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4220
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00030219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205802998
—
WA
Enumeration date
06/28/2006
Last updated
02/21/2012
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