Organization
DAN PARKE PC
Active
Other names
Blaine County Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PARKE D.C. (OWNER/PRESIDENT)
(208) 788-2258
Entity
Organization
Contact information
Practice address
222 S RIVER ST, HAILEY, ID 83333-8427
(208) 788-2258
(208) 578-7024
Mailing address
222 S RIVER ST, HAILEY, ID 83333-8427
(208) 788-2258
(208) 578-7024
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-836
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8060838
—
ID
Enumeration date
01/11/2008
Last updated
01/11/2008
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