Individual
PARKER PAUL MCKITTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1207 PRAIRIE PKWY STE A, WEST FARGO, ND 58078-3145
(701) 492-0696
Mailing address
1207 PRAIRIE PKWY STE A, WEST FARGO, ND 58078-3145
(701) 492-0696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1115
ND
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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