Organization
PARKER MEDICAL CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA ANN SHILLITO (OFFICE MANAGER)
(928) 669-2225
Entity
Organization
Contact information
Practice address
905 FIESTA, PARKER, AZ 85344-5152
(928) 669-2225
(928) 669-6751
Mailing address
905 FIESTA, PARKER, AZ 85344-5152
(928) 669-2225
(928) 669-6751
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
32755
AZ
261QR1300X
Rural Health Clinic/Center
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862690
—
AZ
Enumeration date
06/30/2005
Last updated
07/25/2016
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