Organization
P CRAIG PARKER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL C PARKER MD (OWNER)
(337) 991-9276
Entity
Organization
Contact information
Practice address
47 OAKLAWN DR, COVINGTON, LA 70433-4520
(337) 991-9276
(337) 943-0846
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015828
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002038
—
LA
Enumeration date
12/24/2009
Last updated
02/22/2019
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