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C PARKE PODIATRY LTD NPI 1164816971


NPI Information

NPI: 1164816971
Provider Name: C PARKE PODIATRY LTD
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2641 BOX CANYON DR STE A
LAS VEGAS, NV
ZIP 89128
Phone: (702) 243-3668
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C PARKE PODIATRY LTD is a foot and ankle surgery podiatrist in Las Vegas, NV. C PARKE PODIATRY LTD NPI is 1164816971. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2641 BOX CANYON DR STE A
LAS VEGAS, NV
ZIP 89128-423
Phone: (702) 243-3668
Fax: (702) 243-3324

The provider's authorized official is Conan Robert Parke .
The authorized official title is Owner and has the following contact phone number (781) 330-2791.

The enumeration date for this NPI number is 3/19/2015 and was last updated on 6/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery2004NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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