Matthew Parker, MD

NPI #1487049367 in Coeur D'alene, Idaho

Provider Information

NPI Number: 1487049367
Entity Type: Individual
Name: Matthew Parker, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Mar 30, 2015
Last Updated: Apr 10, 2019

Practice Location

Address: LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE
Address 2: 980 W IRONWOOD DRIVE SUITE 302
City: Coeur D'alene
State: Idaho
ZIP Code: 83814
Phone: (310) 267-9129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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