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NPI Code Detail

MEDICARE: DR. JULES GERARD PARKER DPM

MEDICARE:  DR. JULES GERARD PARKER  DPM
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
1213E00000XPodiatrist0103000907VA
2213ES0131XFoot Surgery Podiatrist0103000907VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1VAA100791OTHERVAMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396789806
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULES GERARD PARKER DPM
Provider Business Mailing Address
First Line : 2040 SUNSET MAPLE LN
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23323-6359
Country : US
Telephone Number : 757-485-4811
Fax Number : 757-628-8280
Provider Business Practice Location Address
First Line : 930 MAJESTIC AVE 140
Second Line :
City : NORFOLK
State : VA
Zip : 23504-4055
Country : US
Telephone Number : 757-628-1597
Fax Number : 757-628-8280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 09/30/2015

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Directions to “ DR. JULES GERARD PARKER DPM” Practice Location

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