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NPI Code Detail

MEDICARE: DR. ROGER PARRIS M.D.

MEDICARE: DR. ROGER PARRIS M.D.
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
1207Q00000XFamily Medicine Physician0418448KS

General Provider Information

NPI Number : 1578544185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER PARRIS M.D.
Provider Business Mailing Address
First Line : 403 WOODLAND HILLS BLVD
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-8798
Country : US
Telephone Number : 620-223-8040
Fax Number :
Provider Business Practice Location Address
First Line : 403 WOODLAND HILLS BLVD
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-8798
Country : US
Telephone Number : 620-223-8040
Fax Number : 620-223-8524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 01/15/2008

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Directions to “ DR. ROGER PARRIS M.D.” Practice Location

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