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Organization

R BRUCE PARKER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL BRUCE PARKER MD (CORPORATION HEAD)
(405) 321-2929
Entity
Organization

Contact information

Practice address
3441 24TH AVE NW STE 105, NORMAN, OK 73069-6716
(405) 321-2929
(405) 366-8701
Mailing address
3441 24TH AVE NW STE 105, NORMAN, OK 73069-6716
(140) 532-1292
(405) 366-8701

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15169
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100147560A
OK
Enumeration date
03/13/2009
Last updated
06/15/2021
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