Individual
MR. TYSON CRAIG PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3360 WASHINGTON PKWY STE 1, IDAHO FALLS, ID 83404-7592
(208) 524-3416
Mailing address
3360 WASHINGTON PKWY STE 1, IDAHO FALLS, ID 83404-7592
(208) 524-3416
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-690
ID
Other
Enumeration date
09/20/2007
Last updated
01/16/2026
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