Individual
DR. ALTON PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 E. BROADWAY #212, JACKSON, WY 83001
(307) 733-3321
Mailing address
PO BOX 3998, JACKSON, WY 83001-3998
(307) 690-8690
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301084487
MI
2085U0001X
Diagnostic Ultrasound Physician
8454A
WY
208600000X
Surgery Physician
Primary
8454A
WY
2086S0102X
Surgical Critical Care Physician
8454A
WY
2086S0127X
Trauma Surgery Physician
8454A
WY
2086S0129X
Vascular Surgery Physician
8454A
WY
2086X0206X
Surgical Oncology Physician
8454A
WY
208C00000X
Colon & Rectal Surgery Physician
8454A
WY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
8454A
WY
Other
Enumeration date
05/21/2007
Last updated
01/26/2012
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