Individual
STEVE A PARKER
Active
Individual
STEVE A PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23504
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01235043
—
CO
01
—
922395
AZ MEDICAID
AZ
01
—
XPY201217
CA MEDICAID
CA
Enumeration date
05/31/2006
Last updated
11/01/2007
Update your record
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