Individual provider · Type 1 NPI
Brent Earl Parker Jr., ATP
Customized Equipment (DME) · Idaho Falls, ID
NPI number
1285194134
Active
Practice location
211 S Woodruff Ave Ste B10
Idaho Falls, ID 83401-4866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 3586 (ID) |
Customized Equipment (DME): Definition to come...
About NPI 1285194134
Brent Earl Parker Jr., ATP's National Provider Identifier is 1285194134, issued on Mar 25, 2019. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 22, 2025.