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NPI Code Detail

MEDICARE: DR. TRAVIS HAMILTON PARKER M.D.

MEDICARE: DR. TRAVIS HAMILTON PARKER 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
1207P00000XEmergency Medicine PhysicianA94127CA

General Provider Information

NPI Number : 1669551453
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRAVIS HAMILTON PARKER M.D.
Provider Business Mailing Address
First Line : PO BOX 4419
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91365-4419
Country : US
Telephone Number : 818-340-9988
Fax Number : 818-587-2493
Provider Business Practice Location Address
First Line : 200 HOSPITAL CIR
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-3910
Country : US
Telephone Number : 818-340-9988
Fax Number : 818-587-2493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 07/08/2007

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