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NPI Code Detail

MEDICARE: DR. SARAH ELIZABETH PARKS M.D.

MEDICARE: DR. SARAH ELIZABETH 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
12083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician015989LA

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 : 1023331675
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH ELIZABETH PARKS M.D.
Provider Business Mailing Address
First Line : 303 HAWTHORNE ST
Second Line :
City : GRETNA
State : LA
Zip : 70056-7039
Country : US
Telephone Number : 504-368-0504
Fax Number :
Provider Business Practice Location Address
First Line : 1816 INDUSTRIAL BLVD
Second Line :
City : HARVEY
State : LA
Zip : 70058-2314
Country : US
Telephone Number : 504-366-7638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2010
Last Update Date : 10/14/2011

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