Healthcare Provider Details

I. General information

NPI: 1952378713
Provider Name (Legal Business Name): FRANK L. PARKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 E COLUMBUS AVE SUITE 201
PHOENIX AZ
85012-2348
US

IV. Provider business mailing address

6052 E CORTEZ DR
SCOTTSDALE AZ
85254-4948
US

V. Phone/Fax

Practice location:
  • Phone: 602-200-9021
  • Fax: 602-200-9087
Mailing address:
  • Phone: 480-998-8491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number14360
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: