Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW PARKER, MD
Active Sole ProprietorPediatrics · COEUR D'ALENE, ID
Registration Details
- NPI Number
- 1487049367
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2015 (11.079680657991 yrs)
- Last Updated
- Apr 10, 2019
- License
-
M14323 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE980 W IRONWOOD DRIVE SUITE 302COEUR D'ALENE, ID, 83814Browse ID providers · Browse ZIP 83814
- Phone
- 3102679129
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in COEUR D'ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| CHARLOTTE ESTHER WEEDA | MD | 1659582872 |
| MRS. RANDI LEIGH EDWARDS | MD | 1841516218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.