Individual
DR. JERRY MICHAEL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 PACIFIC STREET, MONTERY, CA 93940-4453
(831) 373-4363
(831) 373-6457
Mailing address
1001 PACIFIC STREET, MONTERY, CA 93940-4453
(831) 373-4363
(831) 373-6457
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G8322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000G83220
BLUE SHIELD
CA
05
—
000G83220
—
CA
01
—
902609983
TRICARE
CA
01
—
942609983
BLUE CROSS
CA
Enumeration date
08/20/2006
Last updated
06/21/2010
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