Individual
SHERRY L PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
401 1ST AVE, TOLEDO, IA 52342-2129
(641) 484-2602
(641) 484-6387
Mailing address
401 1ST AVE, TOLEDO, IA 52342-2129
(641) 484-2602
(641) 484-6387
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001324
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970019183
RR MEDICARE
IA
Enumeration date
10/05/2005
Last updated
04/27/2010
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