Darrell R Parker, PA-C

NPI #1235187105 in Portage, Wisconsin

Provider Information

NPI Number: 1235187105
Entity Type: Individual
Name: Darrell R Parker, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 4, 2006
Last Updated: May 5, 2008

Practice Location

Address: 2825 HUNTERS TRL
Address 2: 1ST FLOOR
City: Portage
State: Wisconsin
ZIP Code: 53901-3429
Phone: (608) 742-7161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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