Individual
DR. STEVE EMERY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17025 SNOWMOBILE LN, EAGLE RIVER, AK 99577-7044
(907) 694-9553
(907) 694-9585
Mailing address
PO BOX 876196, WASILLA, AK 99687-6196
(907) 357-0820
(907) 357-0821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301083089
MI
207Q00000X
Family Medicine Physician
6631
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086910171
BCBSM PROVIDER NUMBER
MI
01
—
11301089
CAQH PROVIDER ID
—
01
—
381303843
TAX ID
—
05
—
4607826
—
MI
05
—
MD6631
—
AK
Enumeration date
07/11/2006
Last updated
07/10/2018
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