Provider Demographics
NPI:1083311021
Name:PARKANZKY, MAX (DVM, MS, DACVIM)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:
Last Name:PARKANZKY
Suffix:
Gender:M
Credentials:DVM, MS, DACVIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 W BEARCAT DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84115-2517
Mailing Address - Country:US
Mailing Address - Phone:385-341-4444
Mailing Address - Fax:
Practice Address - Street 1:331 W BEARCAT DR
Practice Address - Street 2:
Practice Address - City:SOUTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84115-2517
Practice Address - Country:US
Practice Address - Phone:385-341-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11217998-2801207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine