MEDICARE: DR. DANIEL CHRISTOPHER PARKER MD

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
1	207R00000X	Internal Medicine Physician	0101259273	VA

General Provider Information

NPI Number	:	1174866198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL CHRISTOPHER PARKER MD

Provider Business Mailing Address
First Line	:	200 TRENT DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-3038
Country	:	US
Telephone Number	:	919-684-3491
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 TRENT DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-3038
Country	:	US
Telephone Number	:	919-684-3491
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	06/05/2016

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