Individual
DR. MATTHEW AARON PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01069584A
IN
207R00000X
Internal Medicine Physician
2013036517
MO
208M00000X
Hospitalist Physician
Primary
2013036517
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558537522
—
IA
05
—
1558537522
—
MO
05
—
201132170A
—
KS
01
—
49764019
BCBS OF KANSAS CITY
MO
01
—
P01652757
RR MEDICARE
MO
Enumeration date
04/30/2008
Last updated
10/26/2017
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