Provider Demographics
NPI:1144307588
Name:PARISH, WALTER E (DC)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:E
Last Name:PARISH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6161 E SPEEDWAY BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-5181
Mailing Address - Country:US
Mailing Address - Phone:520-885-4649
Mailing Address - Fax:520-885-6577
Practice Address - Street 1:6161 E SPEEDWAY BLVD STE 105
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5181
Practice Address - Country:US
Practice Address - Phone:520-885-4649
Practice Address - Fax:520-885-6577
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4149111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor