Individual
DR. MARION GARRETT PARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
599 SIR FRANCIS DRAKE BLVD, SUITE 207, GREENBRAE, CA 94904-1712
(415) 461-6555
Mailing address
23 OLD LANDING RD, TIBURON, CA 94920-1109
(847) 363-6464
Taxonomy
Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
E-5020
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E-5020
CA
213ER0200X
Radiology Podiatrist
E-5020
CA
213ES0000X
Sports Medicine Podiatrist
E-5020
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E-5020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-5020
STATE OF CALIFORNIA DPM LICENSE
CA
Enumeration date
07/15/2012
Last updated
07/15/2012
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