Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | MD.206101 | LA |
N | 207YS0123X | Facial Plastic Surgeon | MD.32411 | AL |
NPI | 1003080201 |
---|---|
Provider Name | Dr. Parker Anthony Velargo |
First Address | New Orleans, LA 70115-6357 |
Second Address | New Orleans, LA 70115-6357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2008 |
Last Update Date | 01/08/2014 |