Provider Demographics
NPI:1902013931
Name:DANIEL PARKER MD LLC
Entity Type:Organization
Organization Name:DANIEL PARKER MD LLC
Other - Org Name:WINFIELD FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-668-6824
Mailing Address - Street 1:100 EIGHTH STREET
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WINFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63389
Mailing Address - Country:US
Mailing Address - Phone:636-668-6824
Mailing Address - Fax:636-668-6822
Practice Address - Street 1:100 EIGHTH STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:WINFIELD
Practice Address - State:MO
Practice Address - Zip Code:63389
Practice Address - Country:US
Practice Address - Phone:636-668-6824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care