Individual provider · Type 1 NPI

Todd Parker, PA-C

Medical Physician Assistant · St. Louis, MO

NPI number 1366417552 Active

Practice location

3015 N Ballas Rd
St. Louis, MO 63131-2329

Call (314) 996-5000 Map

Fax (314) 317-0606

Mailing address

12125 Woodcrest Executive Dr, Suite 220
St. Louis, MO 63141-5001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2001007198 (MO)

Medical Physician Assistant: Definition to come...

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About NPI 1366417552

Todd Parker, PA-C's National Provider Identifier is 1366417552, issued on Feb 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Louis, MO. The record was last updated on Oct 17, 2007.