Provider Demographics
NPI:1659486355
Name:PARROTT, DANIELLE R (MD)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:R
Last Name:PARROTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 E CAMELBACK RD STE 250
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2327
Mailing Address - Country:US
Mailing Address - Phone:602-933-1814
Mailing Address - Fax:602-933-1820
Practice Address - Street 1:800 COVE PKWY
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4644
Practice Address - Country:US
Practice Address - Phone:928-649-3003
Practice Address - Fax:928-649-3030
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ47938208000000X
WAMD00049406208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8512816Medicaid
OR227239Medicaid
WA8512816Medicaid
ORR0000WCGBDMedicare ID - Type UnspecifiedBAY CLINIC, LLP