Individual
DR. JERRY MICHAEL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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