MEDICARE: DR. DAINA PARENT N.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
1	175F00000X	Naturopath	16-1573	AZ

General Provider Information

NPI Number	:	1285185124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAINA PARENT N.M.D

Provider Business Mailing Address
First Line	:	6115 S KYRENE RD STE 201
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-1724
Country	:	US
Telephone Number	:	480-307-9112
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 E CHANDLER BLVD STE 105
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-6280
Country	:	US
Telephone Number	:	480-460-1505
Fax Number	:

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

Provider Enumeration Date	:	10/15/2016
Last Update Date	:	10/15/2016

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