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Individual

JEFFREY D PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403
(812) 676-4542
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01081096A
IN
207R00000X
Internal Medicine Physician
4301108412
MI

Other

Enumeration date
07/10/2015
Last updated
12/12/2018
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