Individual
DR. JEFFERY E PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1711 27TH ST STE 402, PORTSMOUTH, OH 45662-2669
(740) 356-3562
(740) 355-6938
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-6942
(740) 356-7851
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
22573
WV
208600000X
Surgery Physician
Primary
35094012
OH
208600000X
Surgery Physician
44265
KY
208600000X
Surgery Physician
MD072108
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2780861
—
OH
05
—
3810009490
—
WV
05
—
7100039460
—
KY
01
—
P00407338
MEDICARE RAILROAD
—
Enumeration date
10/17/2005
Last updated
12/17/2020
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