Individual
DR. VICTOR D PARKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509TH MEDICAL GROUP SGHC, 331 SIJAN AVENUE, WHITEMAN AFB, MO 65035
(660) 687-3374
Mailing address
WHITEMAN AFB, 509 SIJAN AVENUE, KNOBNOSTER, MO 65035
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
MD460001
PA
208D00000X
General Practice Physician
Primary
81145
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81145
GENERAL PRACTICE
GA
Enumeration date
05/31/2013
Last updated
12/21/2021
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