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Individual

DR. JEFFREY T PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5844 NW BARRY RD, STE. 110, KANSAS CITY, MO 64154-1465
(816) 880-6100
(816) 746-1226
Mailing address
901 E 104TH ST, MAILSTOP #400N, KANSAS CITY, MO 64131-4517
(816) 502-7104
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012011164
MO
207Q00000X
Family Medicine Physician
42149
CO

Other

Enumeration date
11/15/2006
Last updated
11/02/2021
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