Provider Demographics
NPI:1720150717
Name:PARKER, JAMES DANIEL III (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DANIEL
Last Name:PARKER
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 E 200 S
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-2290
Mailing Address - Country:US
Mailing Address - Phone:801-766-1256
Mailing Address - Fax:801-766-9386
Practice Address - Street 1:785 E 200 S
Practice Address - Street 2:SUITE 4
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2290
Practice Address - Country:US
Practice Address - Phone:801-766-1256
Practice Address - Fax:801-766-9386
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6070595-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor