MEDICARE: DR. DAVID A PARRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	35015	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114990892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A PARRY MD

Provider Business Mailing Address
First Line	:	2121 N CRAYCROFT RD BLDG 5
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2801
Country	:	US
Telephone Number	:	520-296-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1358 W. ORANGE GROVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704
Country	:	US
Telephone Number	:	520-575-1272
Fax Number	:	520-575-1789

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2006
Last Update Date	:	12/04/2020

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Directions to “ DR. DAVID A PARRY MD” Practice Location

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