Individual
DWIGHT PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-1000
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
142904
AK
Other
Enumeration date
03/25/2016
Last updated
09/10/2019
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