Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 29097 | KY |
N | 207Q00000X | Family Doctor | 29097 | KY |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0101268535 | VA |
NPI | 1679547731 |
---|---|
Provider Name | Dr. David L. Parks |
First Address | Newport News, VA 23601-1318 |
Second Address | Newport News, VA 23602-2017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 23/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E96843 | (02) |