Individual
BRIAN JUEL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9499 W CHARLESTON BLVD, SUITE 200, LAS VEGAS, NV 89117
(702) 240-9500
(702) 933-6789
Mailing address
9499 W CHARLESTON BLVD, SUITE 200, LAS VEGAS, NV 89117
(702) 240-9500
(702) 933-6789
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
8727
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV5366
BLUE CROSS BLUE SHIELD
NV
Enumeration date
09/28/2006
Last updated
07/08/2007
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