Organization
PARKER FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD D PARKER MD (PROVIDER/OWNER)
(928) 669-9700
Entity
Organization
Contact information
Practice address
1713 S KOFA AVE, SUITE A, PARKER, AZ 85344-6477
(928) 669-9700
(928) 669-7104
Mailing address
1713 S KOFA AVE, SUITE A, PARKER, AZ 85344-6477
(928) 669-9700
(928) 669-7104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36577
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227740
—
AZ
Enumeration date
06/01/2009
Last updated
06/01/2009
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