Individual
BRADEN DOUGLAS PARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 BROADWAY, SUITE 350, FORT WAYNE, IN 46802-1411
(260) 423-2675
(260) 399-4243
Mailing address
750 BROADWAY, SUITE 150, FORT WAYNE, IN 46802-1411
(260) 423-2682
(260) 422-4326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11017886A
IN
207Q00000X
Family Medicine Physician
32999
OK
Other
Enumeration date
06/27/2014
Last updated
07/21/2022
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