Individual
MR. EUGENE ALLEN PARKS
Active
Individual
MR. EUGENE ALLEN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
387
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60146354
ARBOR HEALTH
—
01
—
8790
BLUE CROSS BLUE SHIELD
NE
Enumeration date
08/02/2006
Last updated
11/21/2013
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