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Individual

MICHAEL R PARKER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19045 HWY 305 PLAZA 305, #180, POULSBO, WA 98370
(360) 779-1963
(360) 779-6449
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 478-2366
(360) 373-2096

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00024727
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1025527
WA
Enumeration date
12/16/2005
Last updated
07/08/2007
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