Individual
BRANT PARKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1327 E 17TH ST, IDAHO FALLS, ID 83404-6235
(208) 538-3122
(208) 561-2998
Mailing address
1327 E 17TH ST, IDAHO FALLS, ID 83404-6235
(208) 538-3122
(208) 561-2998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1369
ID
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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