Individual
MICHAEL DAVID PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 JEFFERSON ST, SEMINOLE, OK 74868-3150
(405) 395-4357
(405) 385-6604
Mailing address
606 W WALNUT AVE, SEMINOLE, OK 74868-3861
(918) 220-8923
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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