Provider Demographics
NPI:1609001759
Name:PARKER, RYON EUGENE (MD)
Entity Type:Individual
Prefix:
First Name:RYON
Middle Name:EUGENE
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5380 S RAINBOW BLVD STE 236
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1879
Mailing Address - Country:US
Mailing Address - Phone:702-778-2204
Mailing Address - Fax:702-688-4371
Practice Address - Street 1:5380 S RAINBOW BLVD STE 236
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1879
Practice Address - Country:US
Practice Address - Phone:702-778-2204
Practice Address - Fax:702-688-4371
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14781208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics