Individual
DR. RUSSELL DANIEL PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD19127
RI
207XS0117X
Orthopaedic Surgery of the Spine Physician
341291
LA
Other
Enumeration date
04/18/2018
Last updated
07/19/2024
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