Individual
DR. BRYN ELISE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
623 S MAIN ST STE 1, MOSCOW, ID 83843-2983
(208) 882-2011
(208) 883-1853
Mailing address
623 S MAIN ST STE 1, MOSCOW, ID 83843-2983
(208) 882-2011
(208) 883-1853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-12914
ID
207Q00000X
Family Medicine Physician
ML60224509
WA
Other
Enumeration date
05/20/2011
Last updated
07/19/2024
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