Individual
MRS. ADRIENNE D PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1441 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(812) 752-4055
(812) 752-4188
Mailing address
1441 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(812) 752-4055
(812) 752-4188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001411A
IN
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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