Individual
ROBERT EDWARD ALBERT PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(509) 525-3320
Mailing address
PO BOX 32, LIBERTY LAKE, WA 99019-0032
(509) 529-8905
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11004
NV
207P00000X
Emergency Medicine Physician
Primary
MD60267048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A867920
—
CA
05
—
100503825
—
NV
05
—
XPY202371
—
CA
Enumeration date
07/08/2005
Last updated
06/18/2021
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