Individual
BRIAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5757 W THUNDERBIRD RD STE E151, GLENDALE, AZ 85306-4685
(602) 865-4570
(602) 865-4575
Mailing address
4136 W ALEX LOOP, PHOENIX, AZ 85083-2445
(279) 333-9449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11369
AZ
Other
Enumeration date
03/14/2025
Last updated
12/11/2025
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