Individual
PARKER MCCUNE DEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 POLE LINE RD W, TWIN FALLS, ID 83301-5860
(208) 814-1600
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2419
ID
Other
Enumeration date
04/17/2023
Last updated
06/08/2023
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