Individual
WAYNE JOSEPH PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(315) 653-5000
Mailing address
1879 MCKELVEY HILL DR APT E, MARYLAND HEIGHTS, MO 63043-3921
(314) 579-0973
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
25321087
MO
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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