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Individual

JEFFREY CARL PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4100 LAKE OTIS PKWY, SUITE 308, ANCHORAGE, AK 99508
(907) 563-2663
(907) 333-2948
Mailing address
4100 LAKE OTIS PKWY, SUITE 308, ANCHORAGE, AK 99508
(907) 563-2663
(907) 333-2948

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4625
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD4625
AK
Enumeration date
08/10/2006
Last updated
11/16/2015
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