Individual
ANDREW DENNIS PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
08228
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016928
—
MS
01
—
08228
STATE LICENSE
MS
01
—
140000084
2007 MCR
MS
01
—
142945605
RR PTAN
MS
Enumeration date
05/28/2006
Last updated
05/12/2015
Update your record
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