Individual
DR. DANIEL PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
222 S RIVER ST, HAILEY, ID 83333-8427
(208) 788-2258
Mailing address
222 SOUTH RIVER STREET, HAILEY, ID 83333
(208) 788-2258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-836
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8060838
—
ID
Enumeration date
07/10/2006
Last updated
07/08/2007
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