Basic Information
| Provider Information | |||||||||
| NPI: | 1023045531 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARKER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 46100 | ||||||||
| Address2: | |||||||||
| City: | PLYMOUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554460100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7635539920 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1455 SAINT FRANCIS AVE | ||||||||
| Address2: | |||||||||
| City: | SHAKOPEE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553793374 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9524033000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 40324 | MN | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.