Provider Demographics
NPI:1942386115
Name:PARR, DEBORAH K (MD)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:K
Last Name:PARR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 TURNER DR
Mailing Address - Street 2:BUILDING F #101
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303
Mailing Address - Country:US
Mailing Address - Phone:970-259-0466
Mailing Address - Fax:970-259-0621
Practice Address - Street 1:484 TURNER DR.
Practice Address - Street 2:BLDG F #101
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303
Practice Address - Country:US
Practice Address - Phone:970-259-0466
Practice Address - Fax:970-259-0621
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK56992084P0800X
CO474492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149978201Medicaid
TX149978201Medicaid
8030N1Medicare ID - Type Unspecified