| Dave Parker Inc | |
|
1224 Greer Ave Marion VA 24354-4306 | |
| (276) 920-7242 | |
| Not Available |
| Full Name | Dave Parker Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1224 Greer Ave, Marion, Virginia |
| Authorized Official Name and Position | David G Parker (OWNER) |
| Authorized Official Contact | 2769627242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dave Parker Inc 1224 Greer Ave Marion VA 24354-4306 Ph: (276) 920-7242 | Dave Parker Inc 1224 Greer Ave Marion VA 24354-4306 Ph: (276) 920-7242 |
| NPI Number | 1114213766 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 06/22/2011 |
| Medicare PECOS PAC ID | 7810927258 |
|---|---|
| Medicare Enrollment ID | O20110809000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114213766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102201854 (Virginia) | Primary |
| Provider Name | David G Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255370003 PECOS PAC ID: 9537199971 Enrollment ID: I20060725000277 |
| Provider Name | Dayle Zanzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235142928 PECOS PAC ID: 9638210982 Enrollment ID: I20100108000099 |
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