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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

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