Individual
DR. BRUCE R PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
G16392
CA
2085R0202X
Diagnostic Radiology Physician
J8341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103926501
—
TX
05
—
103926504
—
TX
Enumeration date
10/27/2005
Last updated
03/14/2017
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