Provider Demographics
NPI:1295981546
Name:RONALD E. PARFITT, M.D., PC
Entity type:Organization
Organization Name:RONALD E. PARFITT, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:PARFITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-639-5550
Mailing Address - Street 1:PO BOX 1808
Mailing Address - Street 2:
Mailing Address - City:CAMP VERDE
Mailing Address - State:AZ
Mailing Address - Zip Code:86322-1808
Mailing Address - Country:US
Mailing Address - Phone:928-639-5550
Mailing Address - Fax:
Practice Address - Street 1:460 W FINNIE FLATS RD
Practice Address - Street 2:
Practice Address - City:CAMP VERDE
Practice Address - State:AZ
Practice Address - Zip Code:86322-7266
Practice Address - Country:US
Practice Address - Phone:928-639-5550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20680207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty