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Individual

DR. JOHN W PARKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
322 WILD OAK DR, SHREVEPORT, LA 71106-8228
(318) 426-8884
Mailing address
322 WILD OAK DR, SHREVEPORT, LA 71106-8228
(318) 426-8884

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
013620
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040007485
RAILROAD MEDICARE NUMBER
LA
01
1053315846
GROUP NPI NUMBER
LA
05
1311588
LA
Enumeration date
06/09/2005
Last updated
11/24/2025
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