Individual
JASON RYAN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1080 HOSPITAL DR, ST JOHNSBURY, VT 05819-6001
(802) 473-4100
Mailing address
323 E CHESTNUT ST, LOUISVILLE, KY 40202-1823
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
38508
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
09/15/2025
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