Dr. Marion Garrett Parke
Radiology Sports Medicine Public Medicine Foot & Ankle Surgery and 1 more
599 Sir Francis Drake Blvd Suite 207
Greenbrae
, California 94904-1712
Dr. Marion Garrett Parke
Radiology Sports Medicine Public Medicine Foot & Ankle Surgery and 1 more
599 Sir Francis Drake Blvd Suite 207
Greenbrae
, California 94904-1712
(847) 363-6464
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About
Features
Specialties
- Public Medicine
- Primary Podiatric Medicine
- Radiology
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Marion Garrett Parke
- 23 Old Landing Rd
- Tiburon, CA
- Zip : 94920-1109
- Phone : (847) 363-6464
Second Address
- Dr. Marion Garrett Parke
- 599 Sir Francis Drake Blvd Suite 207
- Greenbrae, CA
- Zip : 94904-1712
- Phone : (415) 461-6555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP0504X | Public Medicine | E-5020 | CA |
| N | 213EP1101X | Primary Podiatric Medicine | E-5020 | CA |
| N | 111NR0200X | Radiology | E-5020 | CA |
| N | 213ER0200X | Radiology | E-5020 | CA |
| N | 2081S0010X | Sports Medicine | E-5020 | CA |
| N | 213ES0000X | Sports Medicine | E-5020 | CA |
| Y | 213ES0103X | Foot & Ankle Surgery | E-5020 | CA |
National Provider Identifier
| NPI | 1164777298 |
|---|---|
| Provider Name | Dr. Marion Garrett Parke |
| First Address | Tiburon, CA 94920-1109 |
| Second Address | Greenbrae, CA 94904-1712 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2012 |
| Last Update Date | 15/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E-5020 | STATE OF CALIFORNIA DPM LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.