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Individual

ANTHONY LLOYD PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CFA

Contact information

Practice address
1700 UNIVERSITY BLVD APT 1118, ROUND ROCK, TX 78665-8018
(410) 419-9532
Mailing address
1700 UNIVERSITY BLVD APT 1118, ROUND ROCK, TX 78665-8018
(410) 419-9532

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
112784
AZ

Other

Enumeration date
10/20/2009
Last updated
10/20/2009
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