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Parker Rea
Military Health Care Provider in San Diego, California
NPI 1306582713

Parker Rea is a Military Health Care Provider based in San Diego, CA. Parker Rea practices in San Diego, CA. The NPI Number for Parker Rea is 1306582713 and holds a License No. (California).

The current practice location address for Parker Rea is Building 1, 34800 Bob Wilson Dr # 112, San Diego, CA and can be reached out via phone at 619-532-8452.

Location: Building 1, 34800 Bob Wilson Dr # 112, San Diego, CA, 92134-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306582713
Provider Name
Parker Rea
Credential
Provider Entity Type
Individual
Gender
Male
Address
Building 1, 34800 Bob Wilson Dr # 112, San Diego, CA, 92134-0001
Phone Number
619-532-8452
Fax Number
Provider Enumeration Date
05/09/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
Building 1, 34800 Bob Wilson Dr # 112
City
San Diego
State
California
Zip
92134-3806
Phone Number
619-532-8452
Fax Number
person
Provider Business Mailing Address Details
Address
Building 1, 34800 Bob Wilson Dr # 112
City
San Diego
State
California
Zip
92134-3806
Phone Number
619-532-8452
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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