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Contact Information

WAYNE J PARKS
11133 DUNN RD
SAINT LOUIS, MO63136-6163
 Phone: 315-653-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Technologist

246QM0706X
Indicates primary specialty

NPI Profile & details for WAYNE J PARKS · (Male)

NPI Number 1962028555
Status Active
Credentials
Entity Individual
Enumeration date 06/19/2020
Last updated 06/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 25321087
Hospital affiliation(s) Not Available
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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