Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 28956 | CO |
NPI | 1144305038 |
---|---|
Provider Name | Dr. Herbert G Parris |
First Address | Denver, CO 80206-4721 |
Second Address | Denver, CO 80206-4721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |