Individual
DEREK PARKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 A ST NE STE 9, LINTON, IN 47441-1612
(812) 847-7005
(812) 847-5309
Mailing address
1600 A ST NE STE 9, LINTON, IN 47441-1612
(812) 847-7005
(812) 847-5309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01078030A
IN
207Q00000X
Family Medicine Physician
TRN19911
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01078030A
INDIANA MEDICAL LICENSE
IN
01
—
TRN19911
FLORIDA RESIDENT TRAINING LICENSE
FL
Enumeration date
05/06/2014
Last updated
04/15/2025
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