Individual
DR. JULES GERARD PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
930 MAJESTIC AVE 140, NORFOLK, VA 23504-4055
(757) 628-1597
(757) 628-8280
Mailing address
2040 SUNSET MAPLE LN, CHESAPEAKE, VA 23323-6359
(757) 485-4811
(757) 628-8280
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000907
VA
213ES0131X
Foot Surgery Podiatrist
0103000907
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9303693
—
VA
01
—
VAA100791
MEDICARE PTAN
VA
Enumeration date
06/15/2006
Last updated
09/30/2015
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