Individual
MR. DANIEL JUSTIN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 623-6161
Mailing address
155 LEISTER RD, BEDFORD, PA 15522-6868
(814) 623-9002
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
078804
PA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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