Doctor Name: | MATTHEW PARROTT |
NPI Number: | 1316375470 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | DO.OP.60581323 |
Business Practice Address: | 1 Boone Rd Bremerton, WA - 983121894 |
Business Phone Number: | 3604754000 |
Business Fax Number: | |
Mailing Address: | 1 Boone Rd, BREMERTON |
State: | WA |
Postal Code: | 983121894 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/28/2013 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | DO.OP.60581323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |