Basic Information
Provider Information
NPI: 1255306916
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARRISH
FirstName: WILLIAM
MiddleName: RICHARD
NamePrefix: MR.
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4 RIBERA LN
Address2:  
City: HOT SPRINGS
State: AR
PostalCode: 719097790
CountryCode: US
TelephoneNumber: 5019224144
FaxNumber:  
Practice Location
Address1: 1 CHOCTAW WAY
Address2:  
City: TALIHINA
State: OK
PostalCode: 745712022
CountryCode: US
TelephoneNumber: 9185677140
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/17/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XC00736ARY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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