Individual
DR. PHILIP DAVID PARKS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MOCCH
Contact information
Practice address
593 EDDY ST, GRAD'S DORM 109, PROVIDENCE, RI 02903-4923
(401) 444-4172
(401) 444-6310
Mailing address
593 EDDY ST, GRAD'S DORM 109, PROVIDENCE, RI 02903-4923
(401) 444-4172
(401) 444-6310
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
231232
MA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
MD12778
RI
Other
Enumeration date
02/09/2006
Last updated
12/17/2008
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