Individual provider · Type 1 NPI

Carson Parks

Student in an Organized Health Care Education/Training Program · Pocatello, ID

NPI number 1124523782 Active

Practice location

2225 Pocatello Creek Rd Apt A
Pocatello, ID 83201-2152

Call (530) 209-6873 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124523782

Carson Parks's National Provider Identifier is 1124523782, issued on Mar 27, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pocatello, ID. The record was last updated on Mar 27, 2018.