Provider Demographics
NPI:1063692135
Name:PARKINSON, ERIC C (DO)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:C
Last Name:PARKINSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:ERIC
Other - Middle Name:C
Other - Last Name:PARKINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:208 W CASABLANCA AVE
Mailing Address - Street 2:
Mailing Address - City:CANNON AFB
Mailing Address - State:NM
Mailing Address - Zip Code:88103-5009
Mailing Address - Country:US
Mailing Address - Phone:575-784-1103
Mailing Address - Fax:575-784-6803
Practice Address - Street 1:527 TUSKEGEE AIRMAN AVE
Practice Address - Street 2:
Practice Address - City:SHEPPARD AFB
Practice Address - State:TX
Practice Address - Zip Code:76311
Practice Address - Country:US
Practice Address - Phone:940-676-2163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDO-0542208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics