Individual provider · Type 1 NPI
Brent D. Parry, DPM
Foot & Ankle Surgery Podiatrist · Canton, IL
NPI number
1891794004
Active
Practice location
180 S Main St
Canton, IL 61520-2608
Fax (309) 649-6880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 016004894 (IL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016004894 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1891794004
Brent D. Parry, DPM's National Provider Identifier is 1891794004, issued on Jul 19, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Canton, IL. The record was last updated on Apr 8, 2021.