Individual
ALTON B PARKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 649-2511
Mailing address
2015 JACKSON ST, ANDERSON, IN 46016-4337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01065486A
IN
207R00000X
Internal Medicine Physician
Primary
01065486A
IN
207R00000X
Internal Medicine Physician
207395
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01075850
—
NY
05
—
200926160
—
IN
Enumeration date
02/06/2006
Last updated
02/08/2024
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