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1619058963
DOUGLAS STEPHEN PARKS
CHEYENNE, WY
NPI
1619058963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WY 5327A)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS STEPHEN PARKS MD
820 EAST 17TH STREET
CHEYENNE, WY 82001-4797
Phone number: 307-632-2434
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Mailing Address
Mr. DOUGLAS STEPHEN PARKS MD
820 EAST 17TH STREET
CHEYENNE, WY 82001-4797
Phone number: 307-777-7911
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