Individual
EDWARD WILLIAM PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1886 W 800 N, PLEASANT GROVE, UT 84062-4097
(801) 756-5288
(801) 756-7589
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 756-5288
(801) 756-7589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
161706-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05784
—
UT
Enumeration date
03/17/2006
Last updated
12/30/2009
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