Individual
DUSTIN KING PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3126 S JACKSON AVE STE 200, JOPLIN, MO 64804-2500
(417) 556-3802
Mailing address
3126 S JACKSON AVE STE 200, JOPLIN, MO 64804-2500
(417) 556-3802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2007003908
MO
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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