Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 3298 | CO |
NPI | 1861515041 |
---|---|
Provider Name | Scott I. Parker |
First Address | Littleton, CO 80120-8066 |
Second Address | Littleton, CO 80120-8066 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |