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Individual

WAYNE H. PARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 BOULTON ST, BEL AIR, MD 21014-4255
(410) 893-0480
(410) 893-9796
Mailing address
PO BOX 64481, BALTIMORE, MD 21264-4481
(410) 836-7010

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0014326
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003331600
MD
05
111300300
MD
01
D0014326
STATE LICENSE NUMBER
MD
Enumeration date
01/06/2006
Last updated
01/29/2013
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