Individual
DR. BILL DAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1157 N YORK ST, MUSKOGEE, OK 74403-2520
(918) 683-8404
(918) 687-4469
Mailing address
1157 N YORK ST, MUSKOGEE, OK 74403-2520
(918) 683-8404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100766150A
—
OK
Enumeration date
07/20/2006
Last updated
01/16/2017
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