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1295921484
TYSON CRAIG PARKER
IDAHO FALLS, ID
NPI
1295921484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-690)
Enumeration Date
2007-09-20
Last Update Date
2011-09-15
Business Address
Mr. TYSON CRAIG PARKER PA-C
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
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Mailing Address
Mr. TYSON CRAIG PARKER PA-C
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
Copy
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