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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SEAN THOMAS PARKER, PA-C

Active

MR. SEAN THOMAS PARKER, PA-C is a Physician Assistant healthcare provider located in HIDDEN VALLEY LAKE, California. NPI 1497221832 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · HIDDEN VALLEY LAKE, CA

Registration Details

NPI Number
1497221832
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2018 (7.7923053307406 yrs)
Last Updated
Sep 12, 2019
License
PA56145 (CA)

Practice Information

Address
18990 COYOTE VALLEY RD STE 10
HIDDEN VALLEY LAKE, CA, 954678339
Browse CA providers · Browse ZIP 95467
Phone
7079878344
Primary Specialty
Physician Assistant
363A00000X
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.