Individual
DR. DANIEL R PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 EIGHTH STREET, SUITE 2, WINFIELD, MO 63389
(636) 668-6824
Mailing address
100 EIGHTH STREET, SUITE 2, WINFIELD, MO 63389
(636) 668-6824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1999134573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
967355318
MEDICARE PTAN CMS
—
Enumeration date
02/23/2006
Last updated
12/03/2007
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