TYSON CRAIG PARKER

IDAHO FALLS, ID
NPI1295921484
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-690)
Enumeration Date2007-09-20
Last Update Date2011-09-15
Business Address
Mr. TYSON CRAIG PARKER PA-C
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
Mailing Address
Mr. TYSON CRAIG PARKER PA-C
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700