Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 78 | MT |
NPI | 1083712293 |
---|---|
Provider Name | Dr. Stephen Wesley Parcell |
First Address | Boulder, CO 80303-1030 |
Second Address | Boulder, CO 80303-4240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 21/05/2008 |