Doctor Name: | EDWARD WILLIAM PARKER |
NPI Number: | 1801855010 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 161706-1205 |
Business Practice Address: | 1886 W 800 N Pleasant Grove, UT - 840624097 |
Business Phone Number: | 8017565288 |
Business Fax Number: | 8017567589 |
Mailing Address: | 1055 N 500 W, PROVO |
State: | UT |
Postal Code: | 846043305 |
Phone Number: | 8017565288 |
Fax Number: | 8017567589 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 12/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 161706-1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |