MEDICARE: RONALD EUGENE PARFITT 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	207Q00000X	Family Medicine Physician	20680	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	Z83684	OTHER	AZ	MEDICARE

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	:	1588674626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD EUGENE PARFITT MD

Provider Business Mailing Address
First Line	:	PO BOX 1808
Second Line	:
City	:	CAMP VERDE
State	:	AZ
Zip	:	86322-1808
Country	:	US
Telephone Number	:	928-649-6477
Fax Number	:	928-567-7172

Provider Business Practice Location Address
First Line	:	348 S MAIN ST
Second Line	:
City	:	CAMP VERDE
State	:	AZ
Zip	:	86322-7155
Country	:	US
Telephone Number	:	928-649-6477
Fax Number	:	928-567-7172

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	09/30/2020

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