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NPI Code Detail

MEDICARE: DR. GRANT STEPHEN PARKINS D.O.

MEDICARE: DR. GRANT STEPHEN PARKINS D.O.
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
1207Q00000XFamily Medicine Physician1994WV

General Provider Information

NPI Number : 1598769424
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GRANT STEPHEN PARKINS D.O.
Provider Business Mailing Address
First Line : 200 HOSPITAL DR
Second Line :
City : SPENCER
State : WV
Zip : 25276-1050
Country : US
Telephone Number : 304-927-6209
Fax Number : 304-927-6837
Provider Business Practice Location Address
First Line : 200 HOSPITAL DR
Second Line :
City : SPENCER
State : WV
Zip : 25276-1050
Country : US
Telephone Number : 304-927-6209
Fax Number : 304-927-6837
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 04/09/2012

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Directions to “ DR. GRANT STEPHEN PARKINS D.O.” Practice Location

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