Randy Parr

NPI #1679987820 in Longview, Washington

Provider Information

NPI Number: 1679987820
Entity Type: Individual
Name: Randy Parr
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 16, 2014
Last Updated: Jun 16, 2014

Practice Location

Address: 856 15TH AVE
City: Longview
State: Washington
ZIP Code: 98632-2321
Phone: (360) 423-3608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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