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Organization
PARKS DYNAMIC CHIROPRACTIC A PROFESSIONAL CORPORATION
Active
Organization
PARKS DYNAMIC CHIROPRACTIC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE SNYDER MARTINEZ (BILLING DIRECTOR)
(530) 885-3154
Entity
Organization
Contact information
Practice address
11879 KEMPER RD STE 3, AUBURN, CA 95603-9021
(530) 885-3154
(530) 885-3192
Mailing address
11879 KEMPER RD STE 3, AUBURN, CA 95603-9021
(530) 885-3154
(530) 885-3192
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC14716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659566818
NPPES
CA
01
—
BA290A
MEDICARE PTAN
CA
Enumeration date
09/11/2007
Last updated
06/21/2018
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