Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 24547 | AZ |
NPI | 1174004162 |
---|---|
Provider Name | Dr. Richard Gittings Parry |
First Address | Sun City, AZ 85351-2708 |
Second Address | Sun City, AZ 85351-2708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2018 |
Last Update Date | 27/08/2018 |