Tyson Craig Parker PA-C

NPI 1295921484 - Physician Assistant - 363A00000X

NPI Details
NPI 1295921484
Gender Male
Enumeration Date 09/20/2007
Last Updated 09/15/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
3614 WASHINGTON PKWY
IDAHO FALLS ID, 83404-7573, US
Phone (208) 552-7700
Fax
Business Location
3614 WASHINGTON PKWY
IDAHO FALLS ID, 83404-7573, US
Phone (208) 552-7700
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Idaho
License Number PA-690
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According to our database, Mr. Tyson Craig Parker PA-C NPI is 1295921484, taxonomy code is 363A00000X and license number is PA-690, license state is located at Idaho. Tyson Craig Parker PA-C physically located at 3614 Washington Pkwy, Idaho Falls ID, 83404-7573. NPI Number Tyson Craig Parker PA-C has the Individual type.

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1295921484 NPI number is provided on an as is basis without warranty of any kind. 1295921484 is maintained by the National Plan & Provider Enumeration System. The contents of Tyson Craig Parker PA-C are for informational purposes only.