Individual provider · Type 1 NPI

Wayne Joseph Parks

Medical Technologist · St. Louis, MO

NPI number 1962028555 Active

Practice location

11133 Dunn Rd
St. Louis, MO 63136-6163

Mailing address

1879 Mckelvey Hill Dr Apt E
Maryland Heights, MO 63043-3921

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist Primary 246QM0706X25321087 (MO)

Medical Technologist: Definition to come...

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About NPI 1962028555

Wayne Joseph Parks's National Provider Identifier is 1962028555, issued on Jun 19, 2020. The primary taxonomy on file is Medical Technologist (246QM0706X), and the practice location is in St. Louis, MO. The record was last updated on Jun 19, 2020.