Individual
TAMMY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, AV369, CLEVELAND, OH 44195-0001
(440) 930-6200
Mailing address
9500 EUCLID AVE, AV369, CLEVELAND, OH 44195-0001
(440) 930-6200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35093525
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2950972
—
OH
Enumeration date
05/29/2007
Last updated
10/24/2011
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