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NPI Code Detail

MEDICARE: DR. ALAN J PARKS M.D.

MEDICARE:  DR. ALAN J PARKS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician35054686POH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598751653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN J PARKS M.D.
Provider Business Mailing Address
First Line : 150 TAYLOR STATION RD
Second Line : SUITE 250
City : COLUMBUS
State : OH
Zip : 43213-4440
Country : US
Telephone Number : 614-863-3222
Fax Number : 614-863-4450
Provider Business Practice Location Address
First Line : 150 TAYLOR STATION RD
Second Line : SUITE 250
City : COLUMBUS
State : OH
Zip : 43213-4440
Country : US
Telephone Number : 614-863-3222
Fax Number : 614-863-4450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 12/20/2011

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Directions to “ DR. ALAN J PARKS M.D.” Practice Location

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