Provider Demographics
NPI:1245233246
Name:PARKER, DAVID D (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:D
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:615 E OKLAHOMA AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-5951
Mailing Address - Country:US
Mailing Address - Phone:580-242-3870
Mailing Address - Fax:580-242-4046
Practice Address - Street 1:615 E OKLAHOMA AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5951
Practice Address - Country:US
Practice Address - Phone:580-242-3870
Practice Address - Fax:580-242-4046
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2011-02-21
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Provider Licenses
StateLicense IDTaxonomies
OK8721207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100122180AMedicaid
OK100122180AMedicaid