Individual
PAUL E PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 CHASE ST, WALLA WALLA, WA 99362
(509) 525-8110
(509) 525-3512
Mailing address
PO BOX 2292, WALLA WALLA, WA 99362
(509) 522-5815
(509) 522-5818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23042
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029396
—
WA
Enumeration date
10/18/2006
Last updated
07/08/2007
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