MR. Brent Earl Parker JR., ATP
NPI #1285194134 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1285194134
- Entity Type
- Individual
- Name
- MR. Brent Earl Parker JR., ATP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Credential
- ATP
- Enumeration Date
- Mar 25, 2019
- Last Updated
- Apr 22, 2025
Practice Location
- Address
- 211 S WOODRUFF AVE STE B10
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4866
- Phone
- (208) 553-7805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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