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Individual

DAVID A PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
Mailing address
4841 MONROE ST, SUITE 103, TOLEDO, OH 43623-4385
(419) 474-4064
(419) 472-2772

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
35-058821
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35-058821
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000024636
ANTHEM BCBS
OH
05
0784576
OH
05
2749036
MI
Enumeration date
09/14/2005
Last updated
10/26/2007
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