Brent D Parry in Canton - Foot & Ankle Surgery
Brent D Parry - NPI 1891794004
Brent D Parry is a Foot & Ankle Surgery in Canton, Illinois. Brent D Parry practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Brent D Parry is 1891794004. The last update date is 2021-04-08.
Brent D Parry's current location address is 180 S Main St, Canton, Illinois. You can contact this provider via phone number 3096470201. The mailing address for Brent D Parry is 180 S Main St, Canton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent D Parry |
|---|---|
| Address | 180 S Main St, Canton, Illinois |
| Phone Number | 3096470201 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1891794004 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2021-04-08 |
Provider Mailing Address Detail
| Address | 180 S Main St |
|---|---|
| City | Canton |
| State | Illinois (IL) |
| Post Code | 615202608 |
| Phone Number | 3096470201 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 16004894 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16004894 | IL | STATE LICENSE |
Post Comment/ Review Below
Could you please share the complete physical location address where Brent D Parry's facilities are situated?
The facilities of Brent D Parry are physically located at the following address: 180 S Main St, Canton, IL, 615202608.
What is Brent D Parry's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brent D Parry's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
On what date did the Brent D Parry receive the assignment of its 1891794004 from the Centers for Medicare & Medicaid Services?
The Brent D Parry was issued its 1891794004 by the Centers for Medicare & Medicaid Services on 2005-07-19.
When was the information regarding Brent D Parry most recently updated?
The details pertaining to the Brent D Parry, including its address, specialty, and other relevant information, were last refreshed on 2021-04-08.
As of what date was the information pertaining to Brent D Parry, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brent D Parry, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-04-08.