NPI 1962028555

Wayne Joseph Parks

Practitioner Medical Technologist Saint Louis, MO

Practice location

Address: 11133 Dunn Rd, Saint Louis, MO 63136-6163
Phone: (315) 653-5000
Mailing address: 1879 McKelvey Hill Dr APT E, Maryland Heights, MO 63043-3921

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 25321087 (MO)

Other Specialist/Technologist, Pathology providers in Missouri →

Registry record

NPI: 1962028555
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2020
Record last updated: 19 Jun 2020

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.