Individual
DR. JASON WYLIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, NMD
Contact information
Practice address
7105 S SOMMER DR, IDAHO FALLS, ID 83406-8399
(208) 339-1975
Mailing address
7105 S SOMMER DR, IDAHO FALLS, ID 83406-8399
(208) 339-1975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA-972
ID
175F00000X
Naturopath
Primary
6761369
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6761369
IDAHO BOARD OF NATUROPATHIC HEALTH CARE
ID
Enumeration date
07/17/2006
Last updated
07/15/2024
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