Individual
FREDERICK W PARKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10322 BRISTOW CENTER DR, BRISTOW, VA 20136-2201
(571) 284-4230
(703) 257-1495
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 368-3161
(703) 368-2498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101024081
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19220089291
—
VA
05
—
5633397
—
VA
Enumeration date
07/28/2005
Last updated
04/21/2021
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