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David D Parker
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NPI Number Detailed Information
Provider Information:
| Name: | David D Parker |
| Gender: | M |
| Provider License Number If Given: | 8721 |
NPI Information:
| NPI: | 1245233246 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 2/21/2011 |
Provider Business Mailing Address:
| Address: | 615 E OKLAHOMA AVE SUITE 203 Enid, OK 73701 |
| Phone Number: | 5802423870 |
| Fax Number: | 5802424046 |
Provider Business Practice Location Address:
| Address: | 615 E OKLAHOMA AVE SUITE 203 Enid, OK 73701 |
| Phone Number: | 5802423870 |
| Fax Number: | 5802424046 |
Provider Taxonomy:
| Primary: | 207V00000X |
| Secondary (if any): | |
| State: | OK |
