Individual
DAINA WYATT PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-3940
(225) 358-3939
Mailing address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-3940
(225) 358-3939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.202167
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006491
—
LA
01
—
1689866535
TRICARE SOUTH
TX
05
—
286634501
—
TX
05
—
286634502
—
TX
01
—
8CY557
BCBS
TX
01
—
P00875992
RRMCARE THRU PEPA
LA
Enumeration date
08/14/2007
Last updated
06/26/2013
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