Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 81992 | AZ |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 47819 | AZ |
NPI | 1861663593 |
---|---|
Provider Name | Parisa Morris |
First Address | Phoenix, AZ 85038-9870 |
Second Address | Avondale, AZ 85392-4901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2008 |
Last Update Date | 03/04/2014 |