Individual
DR. MICHAEL RAY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
900 GAULT AVE S, FORT PAYNE, AL 35967
(256) 845-6360
(256) 845-6364
Mailing address
PO BOX 680595, FORT PAYNE, AL 35968
(256) 845-6360
(256) 845-6364
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S468TA071
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059630
—
AL
Enumeration date
03/14/2006
Last updated
06/01/2011
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