Individual
DR. PETER PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3670 S 25TH E STE 2, IDAHO FALLS, ID 83404-4956
(208) 970-8435
Mailing address
3670 S 25TH E STE 2, IDAHO FALLS, ID 83404-4956
(208) 970-8435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9961861
ID
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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