Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 4697 | AK |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4697 | AK |
NPI | 1427068907 |
---|---|
Provider Name | Todd D. Parrish |
First Address | Anchorage, AK 99508-5051 |
Second Address | Anchorage, AK 99508-5051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H39128 | (02) | AK |
MD6854 | (05) | AK |