| Parkway Family Physicians | |
|
721 Snelling Ave S Saint Paul MN 55116-2228 | |
| (651) 690-1311 | |
| (651) 690-2447 |
| Full Name | Parkway Family Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 721 Snelling Ave S, Saint Paul, Minnesota |
| Authorized Official Name and Position | Maryann Josephson (OFFICE MANAGER) |
| Authorized Official Contact | 6516901311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Family Physicians 721 Snelling Ave S Saint Paul MN 55116-2228 Ph: (651) 690-1311 | Parkway Family Physicians 721 Snelling Ave S Saint Paul MN 55116-2228 Ph: (651) 690-1311 |
| NPI Number | 1770573438 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 10/15/2009 |
| Medicare PECOS PAC ID | 0840328050 |
|---|---|
| Medicare Enrollment ID | O20100510000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770573438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Minnesota) | Primary |
| Provider Name | Bradley Allen Langley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083604722 PECOS PAC ID: 2668500877 Enrollment ID: I20100510000252 |
| Provider Name | David Alan Ness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033109780 PECOS PAC ID: 3577691781 Enrollment ID: I20100510000270 |
| Provider Name | William J Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194715748 PECOS PAC ID: 4688702806 Enrollment ID: I20100510000372 |
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