Douglas Stephen Parks in Cheyenne - Family Medicine

Douglas Stephen Parks - NPI 1619058963

Douglas Stephen Parks is a Family Medicine in Cheyenne, . Douglas Stephen Parks practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Douglas Stephen Parks is 1619058963. The last update date is 2007-07-08.

Douglas Stephen Parks's current location address is 820 East 17th Street, Cheyenne, . You can contact this provider via phone number 3077777911 and fax number 3076383616. The mailing address for Douglas Stephen Parks is 820 East 17th Street, Cheyenne, . To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Stephen Parks
Address 820 East 17th Street, Cheyenne,
Phone Number 3077777911
Fax Number 3076383616
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619058963
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 820 East 17th Street
City Cheyenne
State (WY)
Post Code 820014797
Phone Number 3077777911
Fax Number 3076383616

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 5327A
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100074800 WY --
306424 WY BCBS
80104221 WY RR MEDICARE

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FAQs about Douglas Stephen Parks

What is the unique 10-digit identification code assigned to Douglas Stephen Parks by the Centers for Medicare & Medicaid Services?

The Douglas Stephen Parks has been issued the NPI (National Provider Identifier) 1619058963, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Douglas Stephen Parks located?

The Douglas Stephen Parks is located at 820 East 17Th Street, Cheyenne, WY 820014797.

What is Douglas Stephen Parks's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Douglas Stephen Parks is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Douglas Stephen Parks receive its 1619058963 assignment from the Centers for Medicare & Medicaid Services?

The Douglas Stephen Parks was assigned its 1619058963 by the Centers for Medicare & Medicaid Services on 2006-10-17.

When was the information pertaining to Douglas Stephen Parks most recently updated or revised?

The details related to Douglas Stephen Parks, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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