Individual
DAVID J PARKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 N JERRY CLOWER BLVD, STE H, YAZOO CITY, MS 39194-8669
(662) 746-1623
Mailing address
PO BOX 202, YAZOO CITY, MS 39194-0202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
534
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087095
—
MS
Enumeration date
12/21/2006
Last updated
09/22/2011
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