Individual
PARKER GENE ESTVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5811 JACK SPRINGS RD, ATMORE, AL 36502-5025
(251) 368-8630
Mailing address
2300 OLD MARTIN RD, BAKER, FL 32531-8518
(251) 368-9136
(251) 368-0832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23316
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23316
STATE LICENSE
AL
01
—
37487
STATE LICENSE
WA
05
—
631900009
—
AL
01
—
ME0033799
STATE LICENSE
FL
Enumeration date
08/30/2006
Last updated
07/08/2007
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