Individual
DR. DERRALL SHAWN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 335-3577
(573) 335-1559
Mailing address
360 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 335-3577
(573) 335-1559
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036-101500
MO
207W00000X
Ophthalmology Physician
KY30522
KY
207W00000X
Ophthalmology Physician
Primary
MD116562
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112968
BC BS TAX ID 61.1257991
KY
01
—
115309
BC BS MO 43.1804777
MO
01
—
1238355
FIRST HEALTH 43.1804777
MO
01
—
180035388
RAILROAD CARE 43.1804777
MO
01
—
180035389
RAILROAD CARE 43.1804777
KY
01
—
180042674
RAILROAD CARE 61.1257991
KY
05
—
205249600
—
MO
01
—
393192
HEALTHLINK 61.1257991
KY
01
—
393192
HEALTHLINK 43.1804777
MO
01
—
5971604
AETNA 61.1257991
KY
05
—
64012115
—
KY
01
—
G48960
BLUEGRASS FAM 61.1257991
KY
01
—
P00288000
RAILROAD CARE 43.1804777
IL
Enumeration date
02/16/2006
Last updated
07/03/2014
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