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Contact Information

SCOTT J PARKER, MD
3100 CHANNING WAY
IDAHO FALLS, ID83404
 Phone: 208-529-6111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SCOTT J PARKER · (Male)

NPI # 1730447186
Status Active
Credentials MD
Entity Individual
Enumeration date 04/23/2012
Last updated 05/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-13992
  • UT License # 8809928-1205
  • ID Medicaid 1730447186
Hospital affiliation(s)
  • BINGHAM MEMORIAL HOSPITAL - (Critical Access)
    98 POPLAR STREET
    BLACKFOOT, ID 83221
  • MOUNTAIN VIEW HOSPITAL - (Acute Care)
    2325 CORONADO STREET
    IDAHO FALLS, ID 83404
  • PORTNEUF MEDICAL CENTER - (Acute Care)
    777 HOSPITAL WAY
    POCATELLO, ID 83201
  • RIVERTON MEMORIAL HOSPITAL - (Acute Care)
    2100 W SUNSET DR
    RIVERTON, WY 82501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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