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Thayne Madsen Parker, DO
Student in an Organized Health Care Education/Training Program in Erie, Pennsylvania
NPI 1003484411

Thayne Madsen Parker is a Student in an Organized Health Care Education/Training Program based in Erie, PA. Thayne Madsen Parker practices in Erie, PA and has the professional credentials of DO. The NPI Number for Thayne Madsen Parker is 1003484411 and holds a License No. OT020988 (Pennsylvania).

The current practice location address for Thayne Madsen Parker is 5515 Peach St, Erie, PA and can be reached out via phone at 702-338-5545.

Location: 5515 Peach St, Erie, PA, 16506-1764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003484411
Provider Name
Thayne Madsen Parker
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5515 Peach St, Erie, PA, 16506-1764
Phone Number
702-338-5545
Fax Number
Provider Enumeration Date
06/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5515 Peach St
City
Erie
State
Pennsylvania
Zip
16509-2603
Phone Number
702-338-5545
Fax Number
person
Provider Business Mailing Address Details
Address
5515 Peach St
City
Erie
State
Pennsylvania
Zip
16509-2603
Phone Number
702-338-5545
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OT020988 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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