Provider Demographics
NPI:1144305038
Name:PARRIS, HERBERT G (MD)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:G
Last Name:PARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 E 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4721
Mailing Address - Country:US
Mailing Address - Phone:303-550-7007
Mailing Address - Fax:303-320-8466
Practice Address - Street 1:2610 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4721
Practice Address - Country:US
Practice Address - Phone:303-550-7007
Practice Address - Fax:303-320-8466
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28956207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine