person
Mr. Brent Earl Parker JR., ATP
Customized Equipment (DME) in Rigby, Idaho
NPI 1285194134

Brent Earl Parker JR. is a Customized Equipment (DME) based in Rigby, ID and is specialized in Customized Equipment. Brent Earl Parker JR. practices in Rigby, ID and has the professional credentials of ATP. The NPI Number for Brent Earl Parker JR. is 1285194134 and holds a License No. 3586 (Idaho).

The current practice location address for Brent Earl Parker JR. is 4715 E 200 N, Rigby, ID and can be reached out via phone at 702-496-2784.

Location: 4715 E 200 N, Rigby, ID, 83442-5954
person
Provider Profile Details
NPI Number
1285194134
Provider Name
Brent Earl Parker JR.
Credential
ATP
Provider Entity Type
Individual
Gender
Male
Address
4715 E 200 N, Rigby, ID, 83442-5954
Phone Number
702-496-2784
Fax Number
Provider Enumeration Date
03/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4715 E 200 N
City
State
Zip
83442-5954
Phone Number
702-496-2784
Fax Number
person
Provider Business Mailing Address Details
Address
4715 E 200 N
City
State
Zip
83442-5954
Phone Number
702-496-2784
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
3586 (Idaho)
Definition
Definition to come...
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