Individual
PARKER DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 227-2850
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 227-2850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MRO-2437
ID
Other
Enumeration date
10/21/2022
Last updated
06/25/2024
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