Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2018-01537 | NC |
N | 208600000X | Surgeon | 2018-01537 | NC |
N | 208200000X | Surgeon | MD205243 | OR |
N | 208600000X | Surgeon | MD205243 | OR |
N | 208200000X | Surgeon | MD61055505 | WA |
N | 208600000X | Surgeon | MD61055505 | WA |
Y | 2086S0102X | Surgical Critical Care | MD61055505 | WA |
NPI | 1245674043 |
---|---|
Provider Name | Michael Vernon Parmley |
First Address | Richland, WA 99352-9532 |
Second Address | Richland, WA 99352-3514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2013 |
Last Update Date | 14/10/2021 |