Healthcare Provider Details

I. General information

NPI: 1588674626
Provider Name (Legal Business Name): RONALD EUGENE PARFITT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/30/2020
Certification Date: 09/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 S MAIN ST
CAMP VERDE AZ
86322-7155
US

IV. Provider business mailing address

PO BOX 1808
CAMP VERDE AZ
86322-1808
US

V. Phone/Fax

Practice location:
  • Phone: 928-649-6477
  • Fax: 928-567-7172
Mailing address:
  • Phone: 928-649-6477
  • Fax: 928-567-7172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20680
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: