NPI 1720390479

Caryl B Parks, MTASCP

Practitioner Medical Technologist Fort Washakie, WY

Practice location

Address: 29 Black Coal Rd Laboratory, Fort Washakie, WY 82514-0128
Phone: (307) 332-7672
Fax: (307) 332-7514
Mailing address: 260 Grandview Dr Inn at Lander Best Western Room 609, Lander, WY 82520-2928

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X

Other Specialist/Technologist, Pathology providers in Wyoming →

Registry record

NPI: 1720390479
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2010
Record last updated: 10 Jul 2010

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.