Carson Parks

NPI #1124523782 in Pocatello, Idaho

Provider Information

NPI Number
1124523782
Entity Type
Individual
Name
Carson Parks
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Mar 27, 2018
Last Updated
Mar 27, 2018

Practice Location

Address
2225 POCATELLO CREEK RD APT A
State
Idaho
ZIP Code
83201-2152
Phone
(530) 209-6873

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Student in an Organized Health Care Education/Training Program

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