Organization
R JEFFREY PARKER MD A PROFESSIONAL CORPORATION
Active
Other names
Retina Consultants of Southern Utah
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GRIM (CREDENTIALING SPECIALIST)
(702) 202-4776
Entity
Organization
Contact information
Practice address
1791 E 280 N, ST GEORGE, UT 84790-2400
(702) 369-0200
(702) 243-8383
Mailing address
3006 S MARYLAND PARKWAY, SUITE 710, LAS VEGAS, NV 89109
(702) 369-0200
(702) 243-8383
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
963214201205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530401246018
—
UT
Enumeration date
06/04/2006
Last updated
03/29/2023
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