Parks, David Alan

Parks, David Alan is an individual health care provider with primary practice located at 3960 Lindell Blvd , St Louis MO 63108-3204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Parks, David Alan can be contacted via phone (314) 652-0100.

Contact Information

Primary practice address
3960 Lindell Blvd St Louis MO 63108-3204
Fax: (314) 652-0125
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 105677 Missouri

Profile Details

NPI number 1649315219
LBN Legal business name Parks, David Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 21st, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649315219 NPPES
Missouri MEDICAID 208695320

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