Provider Demographics
NPI:1689013195
Name:PARKER, MARIKIT B (MD)
Entity Type:Individual
Prefix:
First Name:MARIKIT
Middle Name:B
Last Name:PARKER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1141 PEAR TREE LN STE 100
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6485
Mailing Address - Country:US
Mailing Address - Phone:707-254-1770
Mailing Address - Fax:707-254-1779
Practice Address - Street 1:1101 B GALE WILSON BLVD STE 101C
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-3771
Practice Address - Country:US
Practice Address - Phone:707-419-8990
Practice Address - Fax:707-254-1779
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2020-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA150359207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty