MEDICARE: PARKER STRINGER BSW, SSW, MSW INTERN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		UT

General Provider Information

NPI Number	:	1740090646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARKER STRINGER BSW, SSW, MSW INTERN

Provider Business Mailing Address
First Line	:	91 E FORT UNION BLVD
Second Line	:
City	:	MIDVALE
State	:	UT
Zip	:	84047-1531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 E SOUTH TEMPLE STE 250
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1273
Country	:	US
Telephone Number	:	801-900-4023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	09/09/2025

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