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Individual

COURTNEY E PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5601 LOCH RAVEN BLVD, 3 NORTH, BALTIMORE, MD 21239-2945
(443) 444-3775
(443) 444-4678
Mailing address
5601 LOCH RAVEN BLVD, 3 NORTH, BALTIMORE, MD 21239-2945
(443) 444-3775
(443) 444-4678

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007925
MD

Other

Enumeration date
04/21/2021
Last updated
04/21/2021
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