Individual
DR. PETER M PARKER
Active
Individual
DR. PETER M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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