Individual
TIMOTHY WILLIAM PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8020 CONSTITUTION PLACE NE, #101, ALBUQUERQUE, NM 87110
(505) 998-1317
(505) 998-1308
Mailing address
606 CLARK CIR SW, ALBUQUERQUE, NM 87105-7554
(505) 263-5676
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
81101
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34876
—
NM
05
—
765133
—
AZ
Enumeration date
02/24/2006
Last updated
01/15/2019
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