Individual
DAVID L PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 HIGHLAND BLVD STE 1100, BOZEMAN, MT 59715-6900
(406) 587-0704
(406) 587-1147
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MED-PHYS-LIC-11771
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000008405
MEDICARE GROUP ID
MT
01
—
81-0351254
TAX ID
MT
Enumeration date
02/16/2007
Last updated
04/09/2025
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