Provider Demographics
NPI:1508235730
Name:PARRAZ, JOSEPH (CVT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:PARRAZ
Suffix:
Gender:M
Credentials:CVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3619
Mailing Address - Street 2:
Mailing Address - City:ARIZONA CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85123-2487
Mailing Address - Country:US
Mailing Address - Phone:520-251-7908
Mailing Address - Fax:
Practice Address - Street 1:14340 S DURANGO RD # 4
Practice Address - Street 2:
Practice Address - City:ARIZONA CITY
Practice Address - State:AZ
Practice Address - Zip Code:85123-8719
Practice Address - Country:US
Practice Address - Phone:520-251-7908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA94-600529172V00000X
AZ85-2936913207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No172V00000XOther Service ProvidersCommunity Health Worker