Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 15-1500 | AZ |
NPI | 1134599673 |
---|---|
Provider Name | Dr. Parabatie Misir |
First Address | Gilbert, AZ 85295-2353 |
Second Address | Gilbert, AZ 85295-2353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2015 |
Last Update Date | 27/09/2015 |