Individual
JOSEPH PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 TREETOP VILLAGE CT, BALLWIN, MO 63021-7456
(314) 780-3248
Mailing address
412 TREETOP VILLAGE CT, BALLWIN, MO 63021-7456
(314) 780-3248
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
528867
MO
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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