Individual
MR. PATRICK W PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
(405) 456-1623
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
(405) 456-1623
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3040
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200847740A
—
OK
Enumeration date
05/06/2019
Last updated
06/09/2022
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