Individual
DR. MICHAEL THEODORE PARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
991 SOUTHPARK DR, SUITE 200, LITTLETON, CO 80120-5689
(303) 733-9971
(303) 733-4611
Mailing address
991 SOUTHPARK DRIVE, SUITE 200, LITTLETON, CO 80120-5689
(303) 733-9971
(303) 733-4611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
29043
CO
207RH0003X
Hematology & Oncology Physician
Primary
27296-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1290436
—
CO
01
—
C398918
MEDICARE ID
—
Enumeration date
04/07/2006
Last updated
09/15/2011
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