Individual
MR. LELAND E PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21 ELM ST, NEW MILFORD, CT 06776-2915
(860) 210-7490
(860) 350-7297
Mailing address
21 ELM ST, NEW MILFORD, CT 06776-2915
(860) 210-7490
(860) 350-7297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001741
CT
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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