Healthcare Provider Details

I. General information

NPI: 1598929986
Provider Name (Legal Business Name): BILLIE PARSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W THOMAS RD ATTN: ACADEMIC AFFAIRS
PHOENIX AZ
85013-4409
US

IV. Provider business mailing address

350 W THOMAS RD ATTN: ACADEMIC AFFAIRS
PHOENIX AZ
85013-4409
US

V. Phone/Fax

Practice location:
  • Phone: 602-406-3538
  • Fax:
Mailing address:
  • Phone: 602-406-3538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR70093
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: