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NPI Code Detail

MEDICARE: SARA ELIZABETH PARKER

MEDICARE: SARA ELIZABETH PARKER
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
1208M00000XHospitalist PhysicianR80488AZ

General Provider Information

NPI Number : 1194411462
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ELIZABETH PARKER
Provider Business Mailing Address
First Line : 1919 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-7710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1919 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-7710
Country : US
Telephone Number : 602-933-0945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2023
Last Update Date : 05/04/2026

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Directions to “ SARA ELIZABETH PARKER ” Practice Location

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