Individual
DANIEL J PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N. 500 E., LOGAN, UT 84341
(435) 716-1000
(801) 951-2389
Mailing address
PO BOX 1108, BOUNTIFUL, UT 84011
(801) 296-2113
(801) 296-1715
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5530543-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119840800
—
WY
05
—
806894900
—
ID
05
—
D5562
—
UT
Enumeration date
10/03/2006
Last updated
04/20/2015
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