NPI 1700850500

Derrall Shawn Parker, MD

Practitioner Ophthalmology Physician Cape Girardeau, MO

Practice location

Address: 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920
Phone: (573) 335-3577
Fax: (573) 335-1559

Registered specialties (3)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD116562 (MO)

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Registry record

NPI: 1700850500
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2006
Record last updated: 3 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.