Basic Information
Provider Information
NPI: 1326459660
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARRY
FirstName: TORREY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18444 N 25TH AVE STE 310
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850231266
CountryCode: US
TelephoneNumber: 6234743696
FaxNumber: 6235445531
Practice Location
Address1: 9321 W THOMAS RD STE 205
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850373392
CountryCode: US
TelephoneNumber: 8669742673
FaxNumber: 8669392673
Other Information
ProviderEnumerationDate: 05/08/2014
LastUpdateDate: 09/04/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XX0005XA161853CAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
207XX0005X60814AZY Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine

No ID Information.


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