Carson Parks is a student in an organized health care education training program in Pocatello, ID. The provider is 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. Carson Parks NPI is 1124523782. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2225 POCATELLO CREEK RD APT A
POCATELLO, ID
ZIP 83201-152
Phone: (530) 209-6873
The enumeration date for this NPI number is 3/27/2018 and was last updated on 3/27/2018.