BRANDON JOHN PARKER

LAKEWOOD, OH
NPI1962609164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OH  34010016)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: NY  262845)
Enumeration Date2007-06-29
Last Update Date2011-09-30
Business Address
-- BRANDON JOHN PARKER D.O.
14519 DETROIT AVE
LAKEWOOD, OH 44107-4316
Phone number: 216-521-4200
Mailing Address
-- BRANDON JOHN PARKER D.O.
2880 N BAY DR APT N13
WESTLAKE, OH 44145-4477
Phone number: 716-479-5762