Individual
DR. PETER M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7400 E THOMPSON PEAK PKWY, SCOTTSDALE, AZ 85255-4109
(602) 445-0751
(602) 424-8128
Mailing address
9225 N 3RD ST STE 300, PHOENIX, AZ 85020-2466
(602) 445-0751
(602) 424-8128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36657
AZ
208M00000X
Hospitalist Physician
36657
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211213
—
AZ
05
—
21121301
—
AZ
01
—
P00418605
RAIL ROAD MEDICARE
AZ
01
—
Z115172
MEDICARE-TYPE UNSPECIFIED
AZ
Enumeration date
03/22/2007
Last updated
05/04/2022
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