Individual
JOHN J PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 ARCHER ROAD, MALCOLM RANDALL VAMC, GAINESVILLE, FL 32608
(352) 374-6015
Mailing address
PO BOX 15538, GAINESVILLE, FL 32604-5538
(828) 699-5555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME72019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142MJ
BCBS OF NC
NC
05
—
5903986
—
NC
Enumeration date
05/12/2006
Last updated
09/04/2009
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