Individual
DR. PAUL J. PARKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 BURNETT CT, RICHMOND, VT 05477-4410
(802) 434-5090
(802) 329-2144
Mailing address
12 BURNETT CT, RICHMOND, VT 05477-4410
(802) 434-5090
(802) 329-2144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0009376
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068257
BLUECROSSBLUESHIELD
VT
05
—
0VN1473
—
VT
01
—
4142307
MVP HEALTHCARE
—
01
—
4798451
CIGNA
—
Enumeration date
07/07/2005
Last updated
07/08/2007
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