Organization
C PARKE PODIATRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONAN ROBERT PARKE D.P.M. (OWNER)
(781) 330-2791
Entity
Organization
Contact information
Practice address
2641 BOX CANYON DR STE A, LAS VEGAS, NV 89128-0423
(702) 243-3668
(702) 243-3324
Mailing address
2641 BOX CANYON DR STE A, LAS VEGAS, NV 89128-0423
(702) 243-3668
(702) 243-3324
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2004
NV
Other
Enumeration date
03/19/2015
Last updated
06/22/2020
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