NPI 1306225412

Joseph Parks

Practitioner Radiologic Technologist Ballwin, MO

Practice location

Address: 412 Treetop Village CT, Ballwin, MO 63021-7456
Phone: (314) 780-3248

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 528867 (MO)

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Registry record

NPI: 1306225412
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2015
Record last updated: 21 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.