Parks, Robert

Parks, Robert is an individual health care provider with primary practice located at 5400 Gibson Se , Albuquerque NM 87108. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Parks, Robert can be contacted via phone (505) 232-7000.

Contact Information

Primary practice address
5400 Gibson Se Albuquerque NM 87108
Phone: (505) 232-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 135 New Mexico

Profile Details

NPI number 1336162445
LBN Legal business name Parks, Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 26th, 2011 - about 14 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 1336162445 NPPES
New Mexico MEDICAID 52332

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