Individual
MR. GERALD WILLIAM PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10420 N LA CANADA DR, SUITE #120, ORO VALLEY, AZ 85737-9602
(520) 544-2445
(520) 544-0452
Mailing address
10420 N LA CANADA DRIVE, SUITE #120, ORO VALLEY, AZ 85737-7025
(520) 544-2445
(520) 544-0452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3995/2165
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3995/2165
DC/PT STATE LICENSE
AZ
01
—
AZ0230070
BCBS IDENTIFICATION
AZ
Enumeration date
10/12/2006
Last updated
06/06/2011
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